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-{"post_id":"n2kys3","domain":"askdocs_test","upvote_ratio":0.99,"history":"My doctor has just diagnosed me with having two uteruses, two cervixes and two vaginas. Can I get an IUD, or will I need to get one in each uterus? I (25F) have just had a transvaginal scan which revealed I have either uterus didelphys or complete bicornate bicollis uterus (they don\u2019t seem to be sure and I\u2019m not quite sure what either term means).   But essentially they\u2019ve said I have double of my uterus, cervix and vagina, and they said it\u2019s like having a shitty version of the septum in your nose. (Great, sounds lovely, thanks doc).   But anyway, I\u2019ve always wanted to get an IUD, because I heard they can be better for you than the pill and help with bad period pain, etc. I\u2019ve always had longer periods (like 7 days long) with really bad pain - \u2018taking full doses of ibuprofen and Panadol and still needing a heat pack\u2019 type pain - and changing between pill brands didn\u2019t help at all. (Oh, and I bled even with tampons in, so I thought I was just really bad at. . . Putting them in, I guess?? I had very bad self-confidence).  So I wanted to get the pain under control and knew the doc could possibly give me pain meds, or even better an IUD, which is part of the reason I went to see the doc in the first place. And, because. . . Well I had always known I was a bit different (I just had like, an extra path. I thought it was a pocket, I think? A surprise, like in a really cool dress?).   I told the doc and she said \u2018look, it\u2019s extremely unlikely, you probably have endo\u2019 and sent me for an ultrasound. My mum said \u2018you\u2019re an idiot, I\u2019ll buy you a bloody car if you have two vaginas\u2019. I haven\u2019t reminded her about that yet.  So anyway, I\u2019ve been referred to see if I have both my kidneys (apparently sometimes people like me lose them?) and see a gynaecologist who will maybe know how the hell I deal with pregnancy if that ever happens. Or two pregnancies in two uteruses at once, if you\u2019ve really done something to offend some fertility deity.   So in the short term, I\u2019m still in pain, and is there any chance I could get an UID before I try to think about the horror of childbirth(s)? Or do I need two IUD\u2019s? Or will that make me bleed out and kill me or something?   (Oh, and please tell me if you know of anyone like me. I would appreciate knowing they exist because at the moment it seems like they\u2019re only in medical journals.)","c_root_id_A":"gwkv4rz","c_root_id_B":"gwlfcs1","created_at_utc_A":1619899232,"created_at_utc_B":1619907623,"score_A":46,"score_B":90,"human_ref_A":"One of the important parts of successful IUD placement is that the uterus be uterus-shaped. A listed contraindication for IUDs, like the Mirena, is \"Congenital or acquired uterine anomaly including fibroids if they distort the uterine \r cavity.\"  There are plenty of times when it's appropriate to go off-label, as long as the practitioner has good reason, client consent, and really knows their stuff.   It sounds like two IUDs have been placed successfully in the context of uterus didelphys, but it might make sense to consider other effective options for bleeding management that aren't dependent on uterus shape (like implant, ring, shot, pill, patch). Any combined hormonal contraceptive (pill, patch, ring) will likely help with cramping and bleeding, plus provide more predictability regarding bleeding, more options to find the right one for you, and more control regarding how you use it than an IUD. The nice thing is there are lots of options out there and a good provider will work with you until you find a method that helps you and makes your life better.","human_ref_B":"Not a doctor but I have the same condition (and only one kidney). There's a good private Facebook group called \"abnormalities of the uterus - uterine didelphys\" which is very active and has lots of helpful ladies willing to answer questions and share experiences.   If Nexplanon implants are available in your area, I'd recommend discussing that with your healthcare provider rather than an IUD.   Feel free to PM me if you like :)","labels":0,"seconds_difference":8391.0,"score_ratio":1.9565217391}
-{"post_id":"n2kys3","domain":"askdocs_test","upvote_ratio":0.99,"history":"My doctor has just diagnosed me with having two uteruses, two cervixes and two vaginas. Can I get an IUD, or will I need to get one in each uterus? I (25F) have just had a transvaginal scan which revealed I have either uterus didelphys or complete bicornate bicollis uterus (they don\u2019t seem to be sure and I\u2019m not quite sure what either term means).   But essentially they\u2019ve said I have double of my uterus, cervix and vagina, and they said it\u2019s like having a shitty version of the septum in your nose. (Great, sounds lovely, thanks doc).   But anyway, I\u2019ve always wanted to get an IUD, because I heard they can be better for you than the pill and help with bad period pain, etc. I\u2019ve always had longer periods (like 7 days long) with really bad pain - \u2018taking full doses of ibuprofen and Panadol and still needing a heat pack\u2019 type pain - and changing between pill brands didn\u2019t help at all. (Oh, and I bled even with tampons in, so I thought I was just really bad at. . . Putting them in, I guess?? I had very bad self-confidence).  So I wanted to get the pain under control and knew the doc could possibly give me pain meds, or even better an IUD, which is part of the reason I went to see the doc in the first place. And, because. . . Well I had always known I was a bit different (I just had like, an extra path. I thought it was a pocket, I think? A surprise, like in a really cool dress?).   I told the doc and she said \u2018look, it\u2019s extremely unlikely, you probably have endo\u2019 and sent me for an ultrasound. My mum said \u2018you\u2019re an idiot, I\u2019ll buy you a bloody car if you have two vaginas\u2019. I haven\u2019t reminded her about that yet.  So anyway, I\u2019ve been referred to see if I have both my kidneys (apparently sometimes people like me lose them?) and see a gynaecologist who will maybe know how the hell I deal with pregnancy if that ever happens. Or two pregnancies in two uteruses at once, if you\u2019ve really done something to offend some fertility deity.   So in the short term, I\u2019m still in pain, and is there any chance I could get an UID before I try to think about the horror of childbirth(s)? Or do I need two IUD\u2019s? Or will that make me bleed out and kill me or something?   (Oh, and please tell me if you know of anyone like me. I would appreciate knowing they exist because at the moment it seems like they\u2019re only in medical journals.)","c_root_id_A":"gwl3yi0","c_root_id_B":"gwlfcs1","created_at_utc_A":1619903013,"created_at_utc_B":1619907623,"score_A":16,"score_B":90,"human_ref_A":"Get a nexplanon rod, problem solved.","human_ref_B":"Not a doctor but I have the same condition (and only one kidney). There's a good private Facebook group called \"abnormalities of the uterus - uterine didelphys\" which is very active and has lots of helpful ladies willing to answer questions and share experiences.   If Nexplanon implants are available in your area, I'd recommend discussing that with your healthcare provider rather than an IUD.   Feel free to PM me if you like :)","labels":0,"seconds_difference":4610.0,"score_ratio":5.625}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqjbjs","c_root_id_B":"gfqmbv7","created_at_utc_A":1607890348,"created_at_utc_B":1607891805,"score_A":349,"score_B":447,"human_ref_A":"If you can't get him to take liquids, you need to take him to the ER. Try to give him Gatorade or pedialyte.","human_ref_B":"No wet diapers in 24 hours is concerning enough to warrant an ER evaluation.","labels":0,"seconds_difference":1457.0,"score_ratio":1.2808022923}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqrscu","c_root_id_B":"gfqzg8r","created_at_utc_A":1607894441,"created_at_utc_B":1607898152,"score_A":184,"score_B":194,"human_ref_A":"Not a doctor.  Mom of 4.  Take him to ER.","human_ref_B":"As has already been stated, please go to the ER. It\u2019s definitely warranted.","labels":0,"seconds_difference":3711.0,"score_ratio":1.0543478261}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqt26c","c_root_id_B":"gfqzg8r","created_at_utc_A":1607895064,"created_at_utc_B":1607898152,"score_A":148,"score_B":194,"human_ref_A":"Same thing happened to my son (2) Covid+ and he went to the hospital for 3 days due to fever and dehydration. Please take him to the ER.","human_ref_B":"As has already been stated, please go to the ER. It\u2019s definitely warranted.","labels":0,"seconds_difference":3088.0,"score_ratio":1.3108108108}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqzg8r","c_root_id_B":"gfqtkjq","created_at_utc_A":1607898152,"created_at_utc_B":1607895311,"score_A":194,"score_B":146,"human_ref_A":"As has already been stated, please go to the ER. It\u2019s definitely warranted.","human_ref_B":"agree this is worthy of ER eval","labels":1,"seconds_difference":2841.0,"score_ratio":1.3287671233}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqzg8r","c_root_id_B":"gfqugtn","created_at_utc_A":1607898152,"created_at_utc_B":1607895741,"score_A":194,"score_B":71,"human_ref_A":"As has already been stated, please go to the ER. It\u2019s definitely warranted.","human_ref_B":"Please update us OP, I\u2019m sorry you\u2019re going through this. As others have said you can assess hydration by; at least three wet diapers in 24 hours, check if you notice the urine looking darker than normal, is baby behaving differently? More tired\/sleepy? When he\u2019s nursing how effective is his latch\/ how long does he nurse for\/ how often? Offer pedialyte or food after breastfeeding - if he takes it, how much?  Best of luck to you!","labels":1,"seconds_difference":2411.0,"score_ratio":2.7323943662}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqvj7r","c_root_id_B":"gfqzg8r","created_at_utc_A":1607896258,"created_at_utc_B":1607898152,"score_A":49,"score_B":194,"human_ref_A":"Not a doctor - 18hrs without a pee is in my opinion more than enough for a hospital visit","human_ref_B":"As has already been stated, please go to the ER. It\u2019s definitely warranted.","labels":0,"seconds_difference":1894.0,"score_ratio":3.9591836735}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqrpl7","c_root_id_B":"gfqzg8r","created_at_utc_A":1607894404,"created_at_utc_B":1607898152,"score_A":33,"score_B":194,"human_ref_A":"Definitely want to strictly monitor intake and output. So intake is food or liquids. Output is vomit, urine, stool.  At that age I'm not sure how much they should be eating and drinking, you would have a better job at knowing what is normal for your baby. But continue monitoring wet diapers. Change in color of urine and smell of urine. Monitor tear production. Look at mucous membranes like gums to see if they look dry.   Overall look. Like pale. Tired. Lethargic. Sunken eyes.   When treating a fever most parents underdose so read the directions carefully on the medication. You can give tylenol and motrin every 6 hours, as in, say tylenol and noon and 6 and motrin at 3 and 9 (am and pm for both)   If you have any concerns. Take to a pediatric emergency department.","human_ref_B":"As has already been stated, please go to the ER. It\u2019s definitely warranted.","labels":0,"seconds_difference":3748.0,"score_ratio":5.8787878788}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqzg8r","c_root_id_B":"gfqvru9","created_at_utc_A":1607898152,"created_at_utc_B":1607896374,"score_A":194,"score_B":27,"human_ref_A":"As has already been stated, please go to the ER. It\u2019s definitely warranted.","human_ref_B":"Not a doctor. Go to the ER. If your baby hasn\u2019t urinated in 18 hours and refuses to eat or drink, he is likely dehydrated. My daughter didn\u2019t urinate for 8 hours while we were at the ER (for other, related issues) and she was VERY dehydrated.","labels":1,"seconds_difference":1778.0,"score_ratio":7.1851851852}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqz08w","c_root_id_B":"gfqzg8r","created_at_utc_A":1607897940,"created_at_utc_B":1607898152,"score_A":19,"score_B":194,"human_ref_A":"Go to the ER. My 8 month old had covid but medicine took her fever down pretty quickly. She was definitely still urinating and not dehydrated. We got lucky with a pretty mild case. Please keep us updated!!  Edit- Not a doctor","human_ref_B":"As has already been stated, please go to the ER. It\u2019s definitely warranted.","labels":0,"seconds_difference":212.0,"score_ratio":10.2105263158}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqzg8r","c_root_id_B":"gfqt2tx","created_at_utc_A":1607898152,"created_at_utc_B":1607895072,"score_A":194,"score_B":11,"human_ref_A":"As has already been stated, please go to the ER. It\u2019s definitely warranted.","human_ref_B":"ER time","labels":1,"seconds_difference":3080.0,"score_ratio":17.6363636364}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfquq8h","c_root_id_B":"gfqzg8r","created_at_utc_A":1607895869,"created_at_utc_B":1607898152,"score_A":9,"score_B":194,"human_ref_A":"No urine in 18 hours is concerning.  I would take him to the ER","human_ref_B":"As has already been stated, please go to the ER. It\u2019s definitely warranted.","labels":0,"seconds_difference":2283.0,"score_ratio":21.5555555556}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqvbok","c_root_id_B":"gfqzg8r","created_at_utc_A":1607896156,"created_at_utc_B":1607898152,"score_A":10,"score_B":194,"human_ref_A":"Take him in, listen to the Dr.  High fever and dehydration are no good at his age. They can put an IV and get his medication thru there.","human_ref_B":"As has already been stated, please go to the ER. It\u2019s definitely warranted.","labels":0,"seconds_difference":1996.0,"score_ratio":19.4}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqtz9x","c_root_id_B":"gfqzg8r","created_at_utc_A":1607895512,"created_at_utc_B":1607898152,"score_A":9,"score_B":194,"human_ref_A":"Not a doctor but pedialyte is what they give babies for hydrating usually. They have em at most corners stores","human_ref_B":"As has already been stated, please go to the ER. It\u2019s definitely warranted.","labels":0,"seconds_difference":2640.0,"score_ratio":21.5555555556}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqrscu","c_root_id_B":"gfqrpl7","created_at_utc_A":1607894441,"created_at_utc_B":1607894404,"score_A":184,"score_B":33,"human_ref_A":"Not a doctor.  Mom of 4.  Take him to ER.","human_ref_B":"Definitely want to strictly monitor intake and output. So intake is food or liquids. Output is vomit, urine, stool.  At that age I'm not sure how much they should be eating and drinking, you would have a better job at knowing what is normal for your baby. But continue monitoring wet diapers. Change in color of urine and smell of urine. Monitor tear production. Look at mucous membranes like gums to see if they look dry.   Overall look. Like pale. Tired. Lethargic. Sunken eyes.   When treating a fever most parents underdose so read the directions carefully on the medication. You can give tylenol and motrin every 6 hours, as in, say tylenol and noon and 6 and motrin at 3 and 9 (am and pm for both)   If you have any concerns. Take to a pediatric emergency department.","labels":1,"seconds_difference":37.0,"score_ratio":5.5757575758}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqrpl7","c_root_id_B":"gfqt26c","created_at_utc_A":1607894404,"created_at_utc_B":1607895064,"score_A":33,"score_B":148,"human_ref_A":"Definitely want to strictly monitor intake and output. So intake is food or liquids. Output is vomit, urine, stool.  At that age I'm not sure how much they should be eating and drinking, you would have a better job at knowing what is normal for your baby. But continue monitoring wet diapers. Change in color of urine and smell of urine. Monitor tear production. Look at mucous membranes like gums to see if they look dry.   Overall look. Like pale. Tired. Lethargic. Sunken eyes.   When treating a fever most parents underdose so read the directions carefully on the medication. You can give tylenol and motrin every 6 hours, as in, say tylenol and noon and 6 and motrin at 3 and 9 (am and pm for both)   If you have any concerns. Take to a pediatric emergency department.","human_ref_B":"Same thing happened to my son (2) Covid+ and he went to the hospital for 3 days due to fever and dehydration. Please take him to the ER.","labels":0,"seconds_difference":660.0,"score_ratio":4.4848484848}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqrpl7","c_root_id_B":"gfqtkjq","created_at_utc_A":1607894404,"created_at_utc_B":1607895311,"score_A":33,"score_B":146,"human_ref_A":"Definitely want to strictly monitor intake and output. So intake is food or liquids. Output is vomit, urine, stool.  At that age I'm not sure how much they should be eating and drinking, you would have a better job at knowing what is normal for your baby. But continue monitoring wet diapers. Change in color of urine and smell of urine. Monitor tear production. Look at mucous membranes like gums to see if they look dry.   Overall look. Like pale. Tired. Lethargic. Sunken eyes.   When treating a fever most parents underdose so read the directions carefully on the medication. You can give tylenol and motrin every 6 hours, as in, say tylenol and noon and 6 and motrin at 3 and 9 (am and pm for both)   If you have any concerns. Take to a pediatric emergency department.","human_ref_B":"agree this is worthy of ER eval","labels":0,"seconds_difference":907.0,"score_ratio":4.4242424242}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqtkjq","c_root_id_B":"gfqt2tx","created_at_utc_A":1607895311,"created_at_utc_B":1607895072,"score_A":146,"score_B":11,"human_ref_A":"agree this is worthy of ER eval","human_ref_B":"ER time","labels":1,"seconds_difference":239.0,"score_ratio":13.2727272727}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqugtn","c_root_id_B":"gfqrpl7","created_at_utc_A":1607895741,"created_at_utc_B":1607894404,"score_A":71,"score_B":33,"human_ref_A":"Please update us OP, I\u2019m sorry you\u2019re going through this. As others have said you can assess hydration by; at least three wet diapers in 24 hours, check if you notice the urine looking darker than normal, is baby behaving differently? More tired\/sleepy? When he\u2019s nursing how effective is his latch\/ how long does he nurse for\/ how often? Offer pedialyte or food after breastfeeding - if he takes it, how much?  Best of luck to you!","human_ref_B":"Definitely want to strictly monitor intake and output. So intake is food or liquids. Output is vomit, urine, stool.  At that age I'm not sure how much they should be eating and drinking, you would have a better job at knowing what is normal for your baby. But continue monitoring wet diapers. Change in color of urine and smell of urine. Monitor tear production. Look at mucous membranes like gums to see if they look dry.   Overall look. Like pale. Tired. Lethargic. Sunken eyes.   When treating a fever most parents underdose so read the directions carefully on the medication. You can give tylenol and motrin every 6 hours, as in, say tylenol and noon and 6 and motrin at 3 and 9 (am and pm for both)   If you have any concerns. Take to a pediatric emergency department.","labels":1,"seconds_difference":1337.0,"score_ratio":2.1515151515}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqt2tx","c_root_id_B":"gfqugtn","created_at_utc_A":1607895072,"created_at_utc_B":1607895741,"score_A":11,"score_B":71,"human_ref_A":"ER time","human_ref_B":"Please update us OP, I\u2019m sorry you\u2019re going through this. As others have said you can assess hydration by; at least three wet diapers in 24 hours, check if you notice the urine looking darker than normal, is baby behaving differently? More tired\/sleepy? When he\u2019s nursing how effective is his latch\/ how long does he nurse for\/ how often? Offer pedialyte or food after breastfeeding - if he takes it, how much?  Best of luck to you!","labels":0,"seconds_difference":669.0,"score_ratio":6.4545454545}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqtz9x","c_root_id_B":"gfqugtn","created_at_utc_A":1607895512,"created_at_utc_B":1607895741,"score_A":9,"score_B":71,"human_ref_A":"Not a doctor but pedialyte is what they give babies for hydrating usually. They have em at most corners stores","human_ref_B":"Please update us OP, I\u2019m sorry you\u2019re going through this. As others have said you can assess hydration by; at least three wet diapers in 24 hours, check if you notice the urine looking darker than normal, is baby behaving differently? More tired\/sleepy? When he\u2019s nursing how effective is his latch\/ how long does he nurse for\/ how often? Offer pedialyte or food after breastfeeding - if he takes it, how much?  Best of luck to you!","labels":0,"seconds_difference":229.0,"score_ratio":7.8888888889}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfr1fru","c_root_id_B":"gfqvj7r","created_at_utc_A":1607899143,"created_at_utc_B":1607896258,"score_A":62,"score_B":49,"human_ref_A":"Not a doctor I just want to say I hope your baby gets better. I have a daughter the same age and my heart is breaking for you.   If you are going to the hospital (which you should!) please bring care items for yourself. A long charging cord for your phone, a water bottle, some hearty snacks, comfort items for yourself and baby, a change of clothes for yourself and baby, and some toiletries. Maybe a pair of slippers or flip flops for yourself because sneakers aren\u2019t the most comfortable. To take care of baby you have to take care of yourself, and the hospital is geared towards taking care of the patient not the parent (although I\u2019m sure they will try they are likely overwhelmed).   Good luck \ud83d\udc9c","human_ref_B":"Not a doctor - 18hrs without a pee is in my opinion more than enough for a hospital visit","labels":1,"seconds_difference":2885.0,"score_ratio":1.2653061224}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfr1fru","c_root_id_B":"gfqrpl7","created_at_utc_A":1607899143,"created_at_utc_B":1607894404,"score_A":62,"score_B":33,"human_ref_A":"Not a doctor I just want to say I hope your baby gets better. I have a daughter the same age and my heart is breaking for you.   If you are going to the hospital (which you should!) please bring care items for yourself. A long charging cord for your phone, a water bottle, some hearty snacks, comfort items for yourself and baby, a change of clothes for yourself and baby, and some toiletries. Maybe a pair of slippers or flip flops for yourself because sneakers aren\u2019t the most comfortable. To take care of baby you have to take care of yourself, and the hospital is geared towards taking care of the patient not the parent (although I\u2019m sure they will try they are likely overwhelmed).   Good luck \ud83d\udc9c","human_ref_B":"Definitely want to strictly monitor intake and output. So intake is food or liquids. Output is vomit, urine, stool.  At that age I'm not sure how much they should be eating and drinking, you would have a better job at knowing what is normal for your baby. But continue monitoring wet diapers. Change in color of urine and smell of urine. Monitor tear production. Look at mucous membranes like gums to see if they look dry.   Overall look. Like pale. Tired. Lethargic. Sunken eyes.   When treating a fever most parents underdose so read the directions carefully on the medication. You can give tylenol and motrin every 6 hours, as in, say tylenol and noon and 6 and motrin at 3 and 9 (am and pm for both)   If you have any concerns. Take to a pediatric emergency department.","labels":1,"seconds_difference":4739.0,"score_ratio":1.8787878788}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfr1fru","c_root_id_B":"gfqvru9","created_at_utc_A":1607899143,"created_at_utc_B":1607896374,"score_A":62,"score_B":27,"human_ref_A":"Not a doctor I just want to say I hope your baby gets better. I have a daughter the same age and my heart is breaking for you.   If you are going to the hospital (which you should!) please bring care items for yourself. A long charging cord for your phone, a water bottle, some hearty snacks, comfort items for yourself and baby, a change of clothes for yourself and baby, and some toiletries. Maybe a pair of slippers or flip flops for yourself because sneakers aren\u2019t the most comfortable. To take care of baby you have to take care of yourself, and the hospital is geared towards taking care of the patient not the parent (although I\u2019m sure they will try they are likely overwhelmed).   Good luck \ud83d\udc9c","human_ref_B":"Not a doctor. Go to the ER. If your baby hasn\u2019t urinated in 18 hours and refuses to eat or drink, he is likely dehydrated. My daughter didn\u2019t urinate for 8 hours while we were at the ER (for other, related issues) and she was VERY dehydrated.","labels":1,"seconds_difference":2769.0,"score_ratio":2.2962962963}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfr1fru","c_root_id_B":"gfr19y7","created_at_utc_A":1607899143,"created_at_utc_B":1607899065,"score_A":62,"score_B":26,"human_ref_A":"Not a doctor I just want to say I hope your baby gets better. I have a daughter the same age and my heart is breaking for you.   If you are going to the hospital (which you should!) please bring care items for yourself. A long charging cord for your phone, a water bottle, some hearty snacks, comfort items for yourself and baby, a change of clothes for yourself and baby, and some toiletries. Maybe a pair of slippers or flip flops for yourself because sneakers aren\u2019t the most comfortable. To take care of baby you have to take care of yourself, and the hospital is geared towards taking care of the patient not the parent (although I\u2019m sure they will try they are likely overwhelmed).   Good luck \ud83d\udc9c","human_ref_B":"Not a doctor and as everyone else has already said, he needs to go to the ER. You've tried to keep up with fluid intake orally at home and now it's time to try different avenues.   Also going to add: Kiddos can be misleading in that they compensate very well for all kinds of medical conditions until they crash. You'll see signs like dry\/cracked lips, pale\/dry inside of mouth and nose, and if you pinch his skin it may stay 'tented ' for a moment before falling back into place. Altered mentation\/lethargy is a late sign of shock for dehydration. It's much better to be safe than sorry.","labels":1,"seconds_difference":78.0,"score_ratio":2.3846153846}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfr1fru","c_root_id_B":"gfqz08w","created_at_utc_A":1607899143,"created_at_utc_B":1607897940,"score_A":62,"score_B":19,"human_ref_A":"Not a doctor I just want to say I hope your baby gets better. I have a daughter the same age and my heart is breaking for you.   If you are going to the hospital (which you should!) please bring care items for yourself. A long charging cord for your phone, a water bottle, some hearty snacks, comfort items for yourself and baby, a change of clothes for yourself and baby, and some toiletries. Maybe a pair of slippers or flip flops for yourself because sneakers aren\u2019t the most comfortable. To take care of baby you have to take care of yourself, and the hospital is geared towards taking care of the patient not the parent (although I\u2019m sure they will try they are likely overwhelmed).   Good luck \ud83d\udc9c","human_ref_B":"Go to the ER. My 8 month old had covid but medicine took her fever down pretty quickly. She was definitely still urinating and not dehydrated. We got lucky with a pretty mild case. Please keep us updated!!  Edit- Not a doctor","labels":1,"seconds_difference":1203.0,"score_ratio":3.2631578947}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqt2tx","c_root_id_B":"gfr1fru","created_at_utc_A":1607895072,"created_at_utc_B":1607899143,"score_A":11,"score_B":62,"human_ref_A":"ER time","human_ref_B":"Not a doctor I just want to say I hope your baby gets better. I have a daughter the same age and my heart is breaking for you.   If you are going to the hospital (which you should!) please bring care items for yourself. A long charging cord for your phone, a water bottle, some hearty snacks, comfort items for yourself and baby, a change of clothes for yourself and baby, and some toiletries. Maybe a pair of slippers or flip flops for yourself because sneakers aren\u2019t the most comfortable. To take care of baby you have to take care of yourself, and the hospital is geared towards taking care of the patient not the parent (although I\u2019m sure they will try they are likely overwhelmed).   Good luck \ud83d\udc9c","labels":0,"seconds_difference":4071.0,"score_ratio":5.6363636364}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfquq8h","c_root_id_B":"gfr1fru","created_at_utc_A":1607895869,"created_at_utc_B":1607899143,"score_A":9,"score_B":62,"human_ref_A":"No urine in 18 hours is concerning.  I would take him to the ER","human_ref_B":"Not a doctor I just want to say I hope your baby gets better. I have a daughter the same age and my heart is breaking for you.   If you are going to the hospital (which you should!) please bring care items for yourself. A long charging cord for your phone, a water bottle, some hearty snacks, comfort items for yourself and baby, a change of clothes for yourself and baby, and some toiletries. Maybe a pair of slippers or flip flops for yourself because sneakers aren\u2019t the most comfortable. To take care of baby you have to take care of yourself, and the hospital is geared towards taking care of the patient not the parent (although I\u2019m sure they will try they are likely overwhelmed).   Good luck \ud83d\udc9c","labels":0,"seconds_difference":3274.0,"score_ratio":6.8888888889}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfr1fru","c_root_id_B":"gfqvbok","created_at_utc_A":1607899143,"created_at_utc_B":1607896156,"score_A":62,"score_B":10,"human_ref_A":"Not a doctor I just want to say I hope your baby gets better. I have a daughter the same age and my heart is breaking for you.   If you are going to the hospital (which you should!) please bring care items for yourself. A long charging cord for your phone, a water bottle, some hearty snacks, comfort items for yourself and baby, a change of clothes for yourself and baby, and some toiletries. Maybe a pair of slippers or flip flops for yourself because sneakers aren\u2019t the most comfortable. To take care of baby you have to take care of yourself, and the hospital is geared towards taking care of the patient not the parent (although I\u2019m sure they will try they are likely overwhelmed).   Good luck \ud83d\udc9c","human_ref_B":"Take him in, listen to the Dr.  High fever and dehydration are no good at his age. They can put an IV and get his medication thru there.","labels":1,"seconds_difference":2987.0,"score_ratio":6.2}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfr1fru","c_root_id_B":"gfqtz9x","created_at_utc_A":1607899143,"created_at_utc_B":1607895512,"score_A":62,"score_B":9,"human_ref_A":"Not a doctor I just want to say I hope your baby gets better. I have a daughter the same age and my heart is breaking for you.   If you are going to the hospital (which you should!) please bring care items for yourself. A long charging cord for your phone, a water bottle, some hearty snacks, comfort items for yourself and baby, a change of clothes for yourself and baby, and some toiletries. Maybe a pair of slippers or flip flops for yourself because sneakers aren\u2019t the most comfortable. To take care of baby you have to take care of yourself, and the hospital is geared towards taking care of the patient not the parent (although I\u2019m sure they will try they are likely overwhelmed).   Good luck \ud83d\udc9c","human_ref_B":"Not a doctor but pedialyte is what they give babies for hydrating usually. They have em at most corners stores","labels":1,"seconds_difference":3631.0,"score_ratio":6.8888888889}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqvj7r","c_root_id_B":"gfqrpl7","created_at_utc_A":1607896258,"created_at_utc_B":1607894404,"score_A":49,"score_B":33,"human_ref_A":"Not a doctor - 18hrs without a pee is in my opinion more than enough for a hospital visit","human_ref_B":"Definitely want to strictly monitor intake and output. So intake is food or liquids. Output is vomit, urine, stool.  At that age I'm not sure how much they should be eating and drinking, you would have a better job at knowing what is normal for your baby. But continue monitoring wet diapers. Change in color of urine and smell of urine. Monitor tear production. Look at mucous membranes like gums to see if they look dry.   Overall look. Like pale. Tired. Lethargic. Sunken eyes.   When treating a fever most parents underdose so read the directions carefully on the medication. You can give tylenol and motrin every 6 hours, as in, say tylenol and noon and 6 and motrin at 3 and 9 (am and pm for both)   If you have any concerns. Take to a pediatric emergency department.","labels":1,"seconds_difference":1854.0,"score_ratio":1.4848484848}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqt2tx","c_root_id_B":"gfqvj7r","created_at_utc_A":1607895072,"created_at_utc_B":1607896258,"score_A":11,"score_B":49,"human_ref_A":"ER time","human_ref_B":"Not a doctor - 18hrs without a pee is in my opinion more than enough for a hospital visit","labels":0,"seconds_difference":1186.0,"score_ratio":4.4545454545}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfquq8h","c_root_id_B":"gfqvj7r","created_at_utc_A":1607895869,"created_at_utc_B":1607896258,"score_A":9,"score_B":49,"human_ref_A":"No urine in 18 hours is concerning.  I would take him to the ER","human_ref_B":"Not a doctor - 18hrs without a pee is in my opinion more than enough for a hospital visit","labels":0,"seconds_difference":389.0,"score_ratio":5.4444444444}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqvj7r","c_root_id_B":"gfqvbok","created_at_utc_A":1607896258,"created_at_utc_B":1607896156,"score_A":49,"score_B":10,"human_ref_A":"Not a doctor - 18hrs without a pee is in my opinion more than enough for a hospital visit","human_ref_B":"Take him in, listen to the Dr.  High fever and dehydration are no good at his age. They can put an IV and get his medication thru there.","labels":1,"seconds_difference":102.0,"score_ratio":4.9}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqtz9x","c_root_id_B":"gfqvj7r","created_at_utc_A":1607895512,"created_at_utc_B":1607896258,"score_A":9,"score_B":49,"human_ref_A":"Not a doctor but pedialyte is what they give babies for hydrating usually. They have em at most corners stores","human_ref_B":"Not a doctor - 18hrs without a pee is in my opinion more than enough for a hospital visit","labels":0,"seconds_difference":746.0,"score_ratio":5.4444444444}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqvru9","c_root_id_B":"gfqt2tx","created_at_utc_A":1607896374,"created_at_utc_B":1607895072,"score_A":27,"score_B":11,"human_ref_A":"Not a doctor. Go to the ER. If your baby hasn\u2019t urinated in 18 hours and refuses to eat or drink, he is likely dehydrated. My daughter didn\u2019t urinate for 8 hours while we were at the ER (for other, related issues) and she was VERY dehydrated.","human_ref_B":"ER time","labels":1,"seconds_difference":1302.0,"score_ratio":2.4545454545}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqvru9","c_root_id_B":"gfquq8h","created_at_utc_A":1607896374,"created_at_utc_B":1607895869,"score_A":27,"score_B":9,"human_ref_A":"Not a doctor. Go to the ER. If your baby hasn\u2019t urinated in 18 hours and refuses to eat or drink, he is likely dehydrated. My daughter didn\u2019t urinate for 8 hours while we were at the ER (for other, related issues) and she was VERY dehydrated.","human_ref_B":"No urine in 18 hours is concerning.  I would take him to the ER","labels":1,"seconds_difference":505.0,"score_ratio":3.0}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqvru9","c_root_id_B":"gfqvbok","created_at_utc_A":1607896374,"created_at_utc_B":1607896156,"score_A":27,"score_B":10,"human_ref_A":"Not a doctor. Go to the ER. If your baby hasn\u2019t urinated in 18 hours and refuses to eat or drink, he is likely dehydrated. My daughter didn\u2019t urinate for 8 hours while we were at the ER (for other, related issues) and she was VERY dehydrated.","human_ref_B":"Take him in, listen to the Dr.  High fever and dehydration are no good at his age. They can put an IV and get his medication thru there.","labels":1,"seconds_difference":218.0,"score_ratio":2.7}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqtz9x","c_root_id_B":"gfqvru9","created_at_utc_A":1607895512,"created_at_utc_B":1607896374,"score_A":9,"score_B":27,"human_ref_A":"Not a doctor but pedialyte is what they give babies for hydrating usually. They have em at most corners stores","human_ref_B":"Not a doctor. Go to the ER. If your baby hasn\u2019t urinated in 18 hours and refuses to eat or drink, he is likely dehydrated. My daughter didn\u2019t urinate for 8 hours while we were at the ER (for other, related issues) and she was VERY dehydrated.","labels":0,"seconds_difference":862.0,"score_ratio":3.0}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqz08w","c_root_id_B":"gfr19y7","created_at_utc_A":1607897940,"created_at_utc_B":1607899065,"score_A":19,"score_B":26,"human_ref_A":"Go to the ER. My 8 month old had covid but medicine took her fever down pretty quickly. She was definitely still urinating and not dehydrated. We got lucky with a pretty mild case. Please keep us updated!!  Edit- Not a doctor","human_ref_B":"Not a doctor and as everyone else has already said, he needs to go to the ER. You've tried to keep up with fluid intake orally at home and now it's time to try different avenues.   Also going to add: Kiddos can be misleading in that they compensate very well for all kinds of medical conditions until they crash. You'll see signs like dry\/cracked lips, pale\/dry inside of mouth and nose, and if you pinch his skin it may stay 'tented ' for a moment before falling back into place. Altered mentation\/lethargy is a late sign of shock for dehydration. It's much better to be safe than sorry.","labels":0,"seconds_difference":1125.0,"score_ratio":1.3684210526}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqt2tx","c_root_id_B":"gfr19y7","created_at_utc_A":1607895072,"created_at_utc_B":1607899065,"score_A":11,"score_B":26,"human_ref_A":"ER time","human_ref_B":"Not a doctor and as everyone else has already said, he needs to go to the ER. You've tried to keep up with fluid intake orally at home and now it's time to try different avenues.   Also going to add: Kiddos can be misleading in that they compensate very well for all kinds of medical conditions until they crash. You'll see signs like dry\/cracked lips, pale\/dry inside of mouth and nose, and if you pinch his skin it may stay 'tented ' for a moment before falling back into place. Altered mentation\/lethargy is a late sign of shock for dehydration. It's much better to be safe than sorry.","labels":0,"seconds_difference":3993.0,"score_ratio":2.3636363636}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfquq8h","c_root_id_B":"gfr19y7","created_at_utc_A":1607895869,"created_at_utc_B":1607899065,"score_A":9,"score_B":26,"human_ref_A":"No urine in 18 hours is concerning.  I would take him to the ER","human_ref_B":"Not a doctor and as everyone else has already said, he needs to go to the ER. You've tried to keep up with fluid intake orally at home and now it's time to try different avenues.   Also going to add: Kiddos can be misleading in that they compensate very well for all kinds of medical conditions until they crash. You'll see signs like dry\/cracked lips, pale\/dry inside of mouth and nose, and if you pinch his skin it may stay 'tented ' for a moment before falling back into place. Altered mentation\/lethargy is a late sign of shock for dehydration. It's much better to be safe than sorry.","labels":0,"seconds_difference":3196.0,"score_ratio":2.8888888889}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfr19y7","c_root_id_B":"gfqvbok","created_at_utc_A":1607899065,"created_at_utc_B":1607896156,"score_A":26,"score_B":10,"human_ref_A":"Not a doctor and as everyone else has already said, he needs to go to the ER. You've tried to keep up with fluid intake orally at home and now it's time to try different avenues.   Also going to add: Kiddos can be misleading in that they compensate very well for all kinds of medical conditions until they crash. You'll see signs like dry\/cracked lips, pale\/dry inside of mouth and nose, and if you pinch his skin it may stay 'tented ' for a moment before falling back into place. Altered mentation\/lethargy is a late sign of shock for dehydration. It's much better to be safe than sorry.","human_ref_B":"Take him in, listen to the Dr.  High fever and dehydration are no good at his age. They can put an IV and get his medication thru there.","labels":1,"seconds_difference":2909.0,"score_ratio":2.6}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqtz9x","c_root_id_B":"gfr19y7","created_at_utc_A":1607895512,"created_at_utc_B":1607899065,"score_A":9,"score_B":26,"human_ref_A":"Not a doctor but pedialyte is what they give babies for hydrating usually. They have em at most corners stores","human_ref_B":"Not a doctor and as everyone else has already said, he needs to go to the ER. You've tried to keep up with fluid intake orally at home and now it's time to try different avenues.   Also going to add: Kiddos can be misleading in that they compensate very well for all kinds of medical conditions until they crash. You'll see signs like dry\/cracked lips, pale\/dry inside of mouth and nose, and if you pinch his skin it may stay 'tented ' for a moment before falling back into place. Altered mentation\/lethargy is a late sign of shock for dehydration. It's much better to be safe than sorry.","labels":0,"seconds_difference":3553.0,"score_ratio":2.8888888889}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqt2tx","c_root_id_B":"gfqz08w","created_at_utc_A":1607895072,"created_at_utc_B":1607897940,"score_A":11,"score_B":19,"human_ref_A":"ER time","human_ref_B":"Go to the ER. My 8 month old had covid but medicine took her fever down pretty quickly. She was definitely still urinating and not dehydrated. We got lucky with a pretty mild case. Please keep us updated!!  Edit- Not a doctor","labels":0,"seconds_difference":2868.0,"score_ratio":1.7272727273}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqz08w","c_root_id_B":"gfquq8h","created_at_utc_A":1607897940,"created_at_utc_B":1607895869,"score_A":19,"score_B":9,"human_ref_A":"Go to the ER. My 8 month old had covid but medicine took her fever down pretty quickly. She was definitely still urinating and not dehydrated. We got lucky with a pretty mild case. Please keep us updated!!  Edit- Not a doctor","human_ref_B":"No urine in 18 hours is concerning.  I would take him to the ER","labels":1,"seconds_difference":2071.0,"score_ratio":2.1111111111}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqz08w","c_root_id_B":"gfqvbok","created_at_utc_A":1607897940,"created_at_utc_B":1607896156,"score_A":19,"score_B":10,"human_ref_A":"Go to the ER. My 8 month old had covid but medicine took her fever down pretty quickly. She was definitely still urinating and not dehydrated. We got lucky with a pretty mild case. Please keep us updated!!  Edit- Not a doctor","human_ref_B":"Take him in, listen to the Dr.  High fever and dehydration are no good at his age. They can put an IV and get his medication thru there.","labels":1,"seconds_difference":1784.0,"score_ratio":1.9}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqz08w","c_root_id_B":"gfqtz9x","created_at_utc_A":1607897940,"created_at_utc_B":1607895512,"score_A":19,"score_B":9,"human_ref_A":"Go to the ER. My 8 month old had covid but medicine took her fever down pretty quickly. She was definitely still urinating and not dehydrated. We got lucky with a pretty mild case. Please keep us updated!!  Edit- Not a doctor","human_ref_B":"Not a doctor but pedialyte is what they give babies for hydrating usually. They have em at most corners stores","labels":1,"seconds_difference":2428.0,"score_ratio":2.1111111111}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfquq8h","c_root_id_B":"gfqvbok","created_at_utc_A":1607895869,"created_at_utc_B":1607896156,"score_A":9,"score_B":10,"human_ref_A":"No urine in 18 hours is concerning.  I would take him to the ER","human_ref_B":"Take him in, listen to the Dr.  High fever and dehydration are no good at his age. They can put an IV and get his medication thru there.","labels":0,"seconds_difference":287.0,"score_ratio":1.1111111111}
-{"post_id":"kchfau","domain":"askdocs_test","upvote_ratio":0.98,"history":"My baby is COVID-19 positive, hasn\u2019t urinated in 18 hours, when to know when he is dehydrated. My child is male 11 months old and started running high fevers on Friday afternoon, his pediatrician directed me to take him to the hospital bc I couldn\u2019t get his fever down with medication and he is not eating or drinking and the office is closed until Monday.  He got a positive COVID result, so they just said continue medicine around the clock and don\u2019t let him dehydrate.  He is breastfed, so he is nursing more than he normally would, but he still refuses food and drink. His temperature stays around 103 on medicine.  He drank 25 mls of Gatorade this morning, through syringes. How do I know when he is dehydrated? Will he dehydrate if he is still nursing? He has had 3 wet diapers in the last 3 days but still seems alert and almost playful sometimes.  I just don\u2019t know if wet diapers is the only indication of dehydration or is he is okay bc he is nursing. Please help. TIA.","c_root_id_A":"gfqtz9x","c_root_id_B":"gfqvbok","created_at_utc_A":1607895512,"created_at_utc_B":1607896156,"score_A":9,"score_B":10,"human_ref_A":"Not a doctor but pedialyte is what they give babies for hydrating usually. They have em at most corners stores","human_ref_B":"Take him in, listen to the Dr.  High fever and dehydration are no good at his age. They can put an IV and get his medication thru there.","labels":0,"seconds_difference":644.0,"score_ratio":1.1111111111}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"hszvpnw","c_root_id_B":"hszt0yu","created_at_utc_A":1642392160,"created_at_utc_B":1642390913,"score_A":1231,"score_B":1221,"human_ref_A":"The nurse that called you is out of his\/her mind lol. You absolutely did the right thing.","human_ref_B":"You did the right move , don\u2019t worry","labels":1,"seconds_difference":1247.0,"score_ratio":1.0081900082}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"hszrptl","c_root_id_B":"hszt0yu","created_at_utc_A":1642390323,"created_at_utc_B":1642390913,"score_A":4,"score_B":1221,"human_ref_A":"Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk.  *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](\/message\/compose\/?to=\/r\/AskDocs) if you have any questions or concerns.*","human_ref_B":"You did the right move , don\u2019t worry","labels":0,"seconds_difference":590.0,"score_ratio":305.25}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"hsztdxj","c_root_id_B":"hszvpnw","created_at_utc_A":1642391079,"created_at_utc_B":1642392160,"score_A":682,"score_B":1231,"human_ref_A":"It sounds like the nurse misunderstood something about the situation.  From your description you clearly made the right call by going to the emergency room.  In wilderness medicine there is a saying -- everybody gets one free puke.  After a head injury people can be a bit scrambled, and it's hard to tell if there is any acute problem to warrant evacuation.  Someone can even vomit once without it being indicative of a hugely dangerous problem.  Once someone gets lethargic and vomits multiple times it becomes time to call in a helicopter and seek urgent head imaging, particularly when it's hours after the initial injury (a pattern worrisome for a bleed).  All that is to say, you were absolutely right.","human_ref_B":"The nurse that called you is out of his\/her mind lol. You absolutely did the right thing.","labels":0,"seconds_difference":1081.0,"score_ratio":1.8049853372}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"hszrptl","c_root_id_B":"hszvpnw","created_at_utc_A":1642390323,"created_at_utc_B":1642392160,"score_A":4,"score_B":1231,"human_ref_A":"Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk.  *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](\/message\/compose\/?to=\/r\/AskDocs) if you have any questions or concerns.*","human_ref_B":"The nurse that called you is out of his\/her mind lol. You absolutely did the right thing.","labels":0,"seconds_difference":1837.0,"score_ratio":307.75}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"hsztdxj","c_root_id_B":"hszrptl","created_at_utc_A":1642391079,"created_at_utc_B":1642390323,"score_A":682,"score_B":4,"human_ref_A":"It sounds like the nurse misunderstood something about the situation.  From your description you clearly made the right call by going to the emergency room.  In wilderness medicine there is a saying -- everybody gets one free puke.  After a head injury people can be a bit scrambled, and it's hard to tell if there is any acute problem to warrant evacuation.  Someone can even vomit once without it being indicative of a hugely dangerous problem.  Once someone gets lethargic and vomits multiple times it becomes time to call in a helicopter and seek urgent head imaging, particularly when it's hours after the initial injury (a pattern worrisome for a bleed).  All that is to say, you were absolutely right.","human_ref_B":"Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk.  *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](\/message\/compose\/?to=\/r\/AskDocs) if you have any questions or concerns.*","labels":1,"seconds_difference":756.0,"score_ratio":170.5}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"hszy4vi","c_root_id_B":"hszrptl","created_at_utc_A":1642393325,"created_at_utc_B":1642390323,"score_A":280,"score_B":4,"human_ref_A":"Absolutely right call. Tell the pediatrician.","human_ref_B":"Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk.  *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](\/message\/compose\/?to=\/r\/AskDocs) if you have any questions or concerns.*","labels":1,"seconds_difference":3002.0,"score_ratio":70.0}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht0xdte","c_root_id_B":"ht04b70","created_at_utc_A":1642417186,"created_at_utc_B":1642396587,"score_A":198,"score_B":151,"human_ref_A":"There is no logical reason for a nurse in a doctor's office to chastise someone for their use of emergency services.  Therefore her reasons must have been illogical, i.e. 1) She has an ulterior motive (\"why didn't you call us first and let us bill you for that?\")  2) She's a fuckwit 3) she was having an unrelated bad day and wanted to blame someone for something  Either way you did the right thing. If you have concerns about her counselling other parents then you should mention it to the paediatrician.","human_ref_B":"fuck that dumbass nurse.","labels":1,"seconds_difference":20599.0,"score_ratio":1.3112582781}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht00ukp","c_root_id_B":"ht0xdte","created_at_utc_A":1642394721,"created_at_utc_B":1642417186,"score_A":92,"score_B":198,"human_ref_A":"You did the right thing. I am sorry about that nurse.","human_ref_B":"There is no logical reason for a nurse in a doctor's office to chastise someone for their use of emergency services.  Therefore her reasons must have been illogical, i.e. 1) She has an ulterior motive (\"why didn't you call us first and let us bill you for that?\")  2) She's a fuckwit 3) she was having an unrelated bad day and wanted to blame someone for something  Either way you did the right thing. If you have concerns about her counselling other parents then you should mention it to the paediatrician.","labels":0,"seconds_difference":22465.0,"score_ratio":2.152173913}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht0xdte","c_root_id_B":"ht0akot","created_at_utc_A":1642417186,"created_at_utc_B":1642400216,"score_A":198,"score_B":79,"human_ref_A":"There is no logical reason for a nurse in a doctor's office to chastise someone for their use of emergency services.  Therefore her reasons must have been illogical, i.e. 1) She has an ulterior motive (\"why didn't you call us first and let us bill you for that?\")  2) She's a fuckwit 3) she was having an unrelated bad day and wanted to blame someone for something  Either way you did the right thing. If you have concerns about her counselling other parents then you should mention it to the paediatrician.","human_ref_B":"No your daughter needed a CT scan of her head to check for bleeding, which needs to be done urgently.","labels":1,"seconds_difference":16970.0,"score_ratio":2.5063291139}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht0kua3","c_root_id_B":"ht0xdte","created_at_utc_A":1642407224,"created_at_utc_B":1642417186,"score_A":73,"score_B":198,"human_ref_A":"Just cause someone is a nurse or doc or an RT, doesn\u2019t mean they are the sharpest knife in the drawer\u2026.unfortunately.","human_ref_B":"There is no logical reason for a nurse in a doctor's office to chastise someone for their use of emergency services.  Therefore her reasons must have been illogical, i.e. 1) She has an ulterior motive (\"why didn't you call us first and let us bill you for that?\")  2) She's a fuckwit 3) she was having an unrelated bad day and wanted to blame someone for something  Either way you did the right thing. If you have concerns about her counselling other parents then you should mention it to the paediatrician.","labels":0,"seconds_difference":9962.0,"score_ratio":2.7123287671}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht0bm1s","c_root_id_B":"ht0xdte","created_at_utc_A":1642400867,"created_at_utc_B":1642417186,"score_A":56,"score_B":198,"human_ref_A":"You did everything right, she\u2018s unreasonable and being ridiculous with her comment.","human_ref_B":"There is no logical reason for a nurse in a doctor's office to chastise someone for their use of emergency services.  Therefore her reasons must have been illogical, i.e. 1) She has an ulterior motive (\"why didn't you call us first and let us bill you for that?\")  2) She's a fuckwit 3) she was having an unrelated bad day and wanted to blame someone for something  Either way you did the right thing. If you have concerns about her counselling other parents then you should mention it to the paediatrician.","labels":0,"seconds_difference":16319.0,"score_ratio":3.5357142857}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht0xdte","c_root_id_B":"ht0iq8s","created_at_utc_A":1642417186,"created_at_utc_B":1642405688,"score_A":198,"score_B":46,"human_ref_A":"There is no logical reason for a nurse in a doctor's office to chastise someone for their use of emergency services.  Therefore her reasons must have been illogical, i.e. 1) She has an ulterior motive (\"why didn't you call us first and let us bill you for that?\")  2) She's a fuckwit 3) she was having an unrelated bad day and wanted to blame someone for something  Either way you did the right thing. If you have concerns about her counselling other parents then you should mention it to the paediatrician.","human_ref_B":"Per the PECARN criteria, head CT is appropriate in those 2 and up with lethargy\/solnulence. The fact that they were debating between that and observation suggests to me that they were following the PECARN criteria which is the gold standard for pediatric head injuries.   My personal concern in that rural setting is if I go with observation and the patient worsens at hour 6, I not only need to get the CT (would only obtain if it didn't delay transfer) but also transfer to a pediatric facility. If weather is bad (no helicopter), you are looking at an ambulance ride for hundreds of miles which would take hours more to get definitive care. I do not wish to ever be in the position of having to decide to put a Burr hole in a 2 year old (or anyone at that...).   All Pediatric EM docs I know would have done the CT even if at the intergalactic quartinary children's hospital where pediatric neurosurgery is available 24\/7. -PGY-3 EM Resident Physician","labels":1,"seconds_difference":11498.0,"score_ratio":4.3043478261}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht0xdte","c_root_id_B":"ht0r1n8","created_at_utc_A":1642417186,"created_at_utc_B":1642412034,"score_A":198,"score_B":20,"human_ref_A":"There is no logical reason for a nurse in a doctor's office to chastise someone for their use of emergency services.  Therefore her reasons must have been illogical, i.e. 1) She has an ulterior motive (\"why didn't you call us first and let us bill you for that?\")  2) She's a fuckwit 3) she was having an unrelated bad day and wanted to blame someone for something  Either way you did the right thing. If you have concerns about her counselling other parents then you should mention it to the paediatrician.","human_ref_B":"Absolutely the right call.","labels":1,"seconds_difference":5152.0,"score_ratio":9.9}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"hszrptl","c_root_id_B":"ht0xdte","created_at_utc_A":1642390323,"created_at_utc_B":1642417186,"score_A":4,"score_B":198,"human_ref_A":"Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk.  *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](\/message\/compose\/?to=\/r\/AskDocs) if you have any questions or concerns.*","human_ref_B":"There is no logical reason for a nurse in a doctor's office to chastise someone for their use of emergency services.  Therefore her reasons must have been illogical, i.e. 1) She has an ulterior motive (\"why didn't you call us first and let us bill you for that?\")  2) She's a fuckwit 3) she was having an unrelated bad day and wanted to blame someone for something  Either way you did the right thing. If you have concerns about her counselling other parents then you should mention it to the paediatrician.","labels":0,"seconds_difference":26863.0,"score_ratio":49.5}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht00ukp","c_root_id_B":"ht04b70","created_at_utc_A":1642394721,"created_at_utc_B":1642396587,"score_A":92,"score_B":151,"human_ref_A":"You did the right thing. I am sorry about that nurse.","human_ref_B":"fuck that dumbass nurse.","labels":0,"seconds_difference":1866.0,"score_ratio":1.6413043478}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"hszrptl","c_root_id_B":"ht04b70","created_at_utc_A":1642390323,"created_at_utc_B":1642396587,"score_A":4,"score_B":151,"human_ref_A":"Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk.  *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](\/message\/compose\/?to=\/r\/AskDocs) if you have any questions or concerns.*","human_ref_B":"fuck that dumbass nurse.","labels":0,"seconds_difference":6264.0,"score_ratio":37.75}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht00ukp","c_root_id_B":"hszrptl","created_at_utc_A":1642394721,"created_at_utc_B":1642390323,"score_A":92,"score_B":4,"human_ref_A":"You did the right thing. I am sorry about that nurse.","human_ref_B":"Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk.  *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](\/message\/compose\/?to=\/r\/AskDocs) if you have any questions or concerns.*","labels":1,"seconds_difference":4398.0,"score_ratio":23.0}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht0akot","c_root_id_B":"hszrptl","created_at_utc_A":1642400216,"created_at_utc_B":1642390323,"score_A":79,"score_B":4,"human_ref_A":"No your daughter needed a CT scan of her head to check for bleeding, which needs to be done urgently.","human_ref_B":"Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk.  *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](\/message\/compose\/?to=\/r\/AskDocs) if you have any questions or concerns.*","labels":1,"seconds_difference":9893.0,"score_ratio":19.75}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht0kua3","c_root_id_B":"ht0bm1s","created_at_utc_A":1642407224,"created_at_utc_B":1642400867,"score_A":73,"score_B":56,"human_ref_A":"Just cause someone is a nurse or doc or an RT, doesn\u2019t mean they are the sharpest knife in the drawer\u2026.unfortunately.","human_ref_B":"You did everything right, she\u2018s unreasonable and being ridiculous with her comment.","labels":1,"seconds_difference":6357.0,"score_ratio":1.3035714286}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht0iq8s","c_root_id_B":"ht0kua3","created_at_utc_A":1642405688,"created_at_utc_B":1642407224,"score_A":46,"score_B":73,"human_ref_A":"Per the PECARN criteria, head CT is appropriate in those 2 and up with lethargy\/solnulence. The fact that they were debating between that and observation suggests to me that they were following the PECARN criteria which is the gold standard for pediatric head injuries.   My personal concern in that rural setting is if I go with observation and the patient worsens at hour 6, I not only need to get the CT (would only obtain if it didn't delay transfer) but also transfer to a pediatric facility. If weather is bad (no helicopter), you are looking at an ambulance ride for hundreds of miles which would take hours more to get definitive care. I do not wish to ever be in the position of having to decide to put a Burr hole in a 2 year old (or anyone at that...).   All Pediatric EM docs I know would have done the CT even if at the intergalactic quartinary children's hospital where pediatric neurosurgery is available 24\/7. -PGY-3 EM Resident Physician","human_ref_B":"Just cause someone is a nurse or doc or an RT, doesn\u2019t mean they are the sharpest knife in the drawer\u2026.unfortunately.","labels":0,"seconds_difference":1536.0,"score_ratio":1.5869565217}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"hszrptl","c_root_id_B":"ht0kua3","created_at_utc_A":1642390323,"created_at_utc_B":1642407224,"score_A":4,"score_B":73,"human_ref_A":"Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk.  *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](\/message\/compose\/?to=\/r\/AskDocs) if you have any questions or concerns.*","human_ref_B":"Just cause someone is a nurse or doc or an RT, doesn\u2019t mean they are the sharpest knife in the drawer\u2026.unfortunately.","labels":0,"seconds_difference":16901.0,"score_ratio":18.25}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht0bm1s","c_root_id_B":"hszrptl","created_at_utc_A":1642400867,"created_at_utc_B":1642390323,"score_A":56,"score_B":4,"human_ref_A":"You did everything right, she\u2018s unreasonable and being ridiculous with her comment.","human_ref_B":"Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk.  *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](\/message\/compose\/?to=\/r\/AskDocs) if you have any questions or concerns.*","labels":1,"seconds_difference":10544.0,"score_ratio":14.0}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht0iq8s","c_root_id_B":"ht100kw","created_at_utc_A":1642405688,"created_at_utc_B":1642419216,"score_A":46,"score_B":54,"human_ref_A":"Per the PECARN criteria, head CT is appropriate in those 2 and up with lethargy\/solnulence. The fact that they were debating between that and observation suggests to me that they were following the PECARN criteria which is the gold standard for pediatric head injuries.   My personal concern in that rural setting is if I go with observation and the patient worsens at hour 6, I not only need to get the CT (would only obtain if it didn't delay transfer) but also transfer to a pediatric facility. If weather is bad (no helicopter), you are looking at an ambulance ride for hundreds of miles which would take hours more to get definitive care. I do not wish to ever be in the position of having to decide to put a Burr hole in a 2 year old (or anyone at that...).   All Pediatric EM docs I know would have done the CT even if at the intergalactic quartinary children's hospital where pediatric neurosurgery is available 24\/7. -PGY-3 EM Resident Physician","human_ref_B":"I do this for a living.  You absolutely did the right thing.  She's an idiot.  Vomiting and lethargic or altered mental status is definitely worth a trip to the er.    That nurse is an idiot, on a power trip.","labels":0,"seconds_difference":13528.0,"score_ratio":1.1739130435}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht100kw","c_root_id_B":"ht0r1n8","created_at_utc_A":1642419216,"created_at_utc_B":1642412034,"score_A":54,"score_B":20,"human_ref_A":"I do this for a living.  You absolutely did the right thing.  She's an idiot.  Vomiting and lethargic or altered mental status is definitely worth a trip to the er.    That nurse is an idiot, on a power trip.","human_ref_B":"Absolutely the right call.","labels":1,"seconds_difference":7182.0,"score_ratio":2.7}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht100kw","c_root_id_B":"hszrptl","created_at_utc_A":1642419216,"created_at_utc_B":1642390323,"score_A":54,"score_B":4,"human_ref_A":"I do this for a living.  You absolutely did the right thing.  She's an idiot.  Vomiting and lethargic or altered mental status is definitely worth a trip to the er.    That nurse is an idiot, on a power trip.","human_ref_B":"Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk.  *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](\/message\/compose\/?to=\/r\/AskDocs) if you have any questions or concerns.*","labels":1,"seconds_difference":28893.0,"score_ratio":13.5}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"hszrptl","c_root_id_B":"ht0iq8s","created_at_utc_A":1642390323,"created_at_utc_B":1642405688,"score_A":4,"score_B":46,"human_ref_A":"Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk.  *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](\/message\/compose\/?to=\/r\/AskDocs) if you have any questions or concerns.*","human_ref_B":"Per the PECARN criteria, head CT is appropriate in those 2 and up with lethargy\/solnulence. The fact that they were debating between that and observation suggests to me that they were following the PECARN criteria which is the gold standard for pediatric head injuries.   My personal concern in that rural setting is if I go with observation and the patient worsens at hour 6, I not only need to get the CT (would only obtain if it didn't delay transfer) but also transfer to a pediatric facility. If weather is bad (no helicopter), you are looking at an ambulance ride for hundreds of miles which would take hours more to get definitive care. I do not wish to ever be in the position of having to decide to put a Burr hole in a 2 year old (or anyone at that...).   All Pediatric EM docs I know would have done the CT even if at the intergalactic quartinary children's hospital where pediatric neurosurgery is available 24\/7. -PGY-3 EM Resident Physician","labels":0,"seconds_difference":15365.0,"score_ratio":11.5}
-{"post_id":"s5tt2v","domain":"askdocs_test","upvote_ratio":0.98,"history":"Nurse at pediatrician office scolded us for an ER visit. Were we wrong? This summer,  we were traveling.  Our daughter (age 2F), tripped and hit her head.  A few hours later,  she became lethargic and vomited 8 times in an hour.  We were in an extremely rural area,  and the only thing nearby was a critical access hospital. Concerned about concussion, we took her there to their emergency department.  They confirmed concussion,  did a CT scan (since the nearest children's hospital was 8 hours away,  they wanted to scan for a bleed rather than watching and waiting), found no bleed and we were out of there in a few hours.    The other day,  they finally got around to sending the records to our pediatrician. The nurse that called to follow up gave us a lecture about misuse of emergency services and that we should have called them before taking her to an ER.  They were over 1000 miles away?   I don't want to misuse emergency services. I myself am a healthcare professional. But I'm confused on what I should have done. Was this not the right move?","c_root_id_A":"ht0r1n8","c_root_id_B":"hszrptl","created_at_utc_A":1642412034,"created_at_utc_B":1642390323,"score_A":20,"score_B":4,"human_ref_A":"Absolutely the right call.","human_ref_B":"Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our Terms of Use and understand that all information is taken at your own risk.  *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](\/message\/compose\/?to=\/r\/AskDocs) if you have any questions or concerns.*","labels":1,"seconds_difference":21711.0,"score_ratio":5.0}
-{"post_id":"ts8j90","domain":"askdocs_test","upvote_ratio":0.96,"history":"Parents are forcing me to get a virginity check My parents are basically forcing me to get a virginity check. Trying to make them understand that there is no such thing, is not working and my life is just miserable 24\/7. I just need it done at this point. I'm in my 20s and my regular PCP is a male so for this where my mom will be there, I'll need a female doc. Broken\/not broken, I need the answer to be not broken.  My current plan is to find a female PCP, hop on a virtual visit, explain the situation and if she agrees, book a physical appointment.  Wondering if any docs were in a similar situation where they had to lie in front of the patients parents? Or have a better approach that I should take? I'm in NYC and I do plan on leaving in about two years, so that all of this is in the past but until then I just need some peace.   Thanks!","c_root_id_A":"i2q8x6g","c_root_id_B":"i2q4zcw","created_at_utc_A":1648655755,"created_at_utc_B":1648654166,"score_A":1456,"score_B":294,"human_ref_A":"If a \"family friend doctor\" does this without your permission, it is sexual assault. I am not a lawyer, but your mother pressuring you to have this done is, in effect, being an accessory to sexual assault. That doesn't mean you want to or should try to turn it into a legal battle, but that's the status here.  With your permission, a good lawyer could probably get that recognized as malpractice, because this is not a recognized medical examination, it is not being done for any sound reason, and any harm, including emotional, suffered as a consequence would be harm due to breach of standards of care\u2014in other words, malpractice.  Leaving aside the fact that this exam is meaningless, your mother has no right to demand this or any other exam or any results of any examination you have. You are not a minor and you are entitled to full medical privacy. If you need to do something to calm her down, that's a family issue and not a medical issue. You might find a doctor who is willing to lie for you; others probably would not. Many would be happy to chew out your mother for playing into disgusting moral-medical myths.","human_ref_B":"can you just have your pcp state there is no such thing?  youre gonna have a hard time getting your doc to lie.  there's also no reason your parents should be in the room during the pelvic, and you can ask your doc to state its policy to not have family in the room during a private exam","labels":1,"seconds_difference":1589.0,"score_ratio":4.9523809524}
-{"post_id":"ts8j90","domain":"askdocs_test","upvote_ratio":0.96,"history":"Parents are forcing me to get a virginity check My parents are basically forcing me to get a virginity check. Trying to make them understand that there is no such thing, is not working and my life is just miserable 24\/7. I just need it done at this point. I'm in my 20s and my regular PCP is a male so for this where my mom will be there, I'll need a female doc. Broken\/not broken, I need the answer to be not broken.  My current plan is to find a female PCP, hop on a virtual visit, explain the situation and if she agrees, book a physical appointment.  Wondering if any docs were in a similar situation where they had to lie in front of the patients parents? Or have a better approach that I should take? I'm in NYC and I do plan on leaving in about two years, so that all of this is in the past but until then I just need some peace.   Thanks!","c_root_id_A":"i2q8x6g","c_root_id_B":"i2q5f9w","created_at_utc_A":1648655755,"created_at_utc_B":1648654344,"score_A":1456,"score_B":242,"human_ref_A":"If a \"family friend doctor\" does this without your permission, it is sexual assault. I am not a lawyer, but your mother pressuring you to have this done is, in effect, being an accessory to sexual assault. That doesn't mean you want to or should try to turn it into a legal battle, but that's the status here.  With your permission, a good lawyer could probably get that recognized as malpractice, because this is not a recognized medical examination, it is not being done for any sound reason, and any harm, including emotional, suffered as a consequence would be harm due to breach of standards of care\u2014in other words, malpractice.  Leaving aside the fact that this exam is meaningless, your mother has no right to demand this or any other exam or any results of any examination you have. You are not a minor and you are entitled to full medical privacy. If you need to do something to calm her down, that's a family issue and not a medical issue. You might find a doctor who is willing to lie for you; others probably would not. Many would be happy to chew out your mother for playing into disgusting moral-medical myths.","human_ref_B":"You do not need to consent to any medical care, and if you\u2019re in your 20s your parents have no authority to receive information from your medical providers.    A hymen can be intact after sex, it can be ruptured without having sex. That\u2019s not a clear indication of virginity.   I imagine that this is a cultural or religious driven, but this seems abusive to me as a medical care provider.","labels":1,"seconds_difference":1411.0,"score_ratio":6.0165289256}
-{"post_id":"ts8j90","domain":"askdocs_test","upvote_ratio":0.96,"history":"Parents are forcing me to get a virginity check My parents are basically forcing me to get a virginity check. Trying to make them understand that there is no such thing, is not working and my life is just miserable 24\/7. I just need it done at this point. I'm in my 20s and my regular PCP is a male so for this where my mom will be there, I'll need a female doc. Broken\/not broken, I need the answer to be not broken.  My current plan is to find a female PCP, hop on a virtual visit, explain the situation and if she agrees, book a physical appointment.  Wondering if any docs were in a similar situation where they had to lie in front of the patients parents? Or have a better approach that I should take? I'm in NYC and I do plan on leaving in about two years, so that all of this is in the past but until then I just need some peace.   Thanks!","c_root_id_A":"i2q4zcw","c_root_id_B":"i2qaqk8","created_at_utc_A":1648654166,"created_at_utc_B":1648656489,"score_A":294,"score_B":791,"human_ref_A":"can you just have your pcp state there is no such thing?  youre gonna have a hard time getting your doc to lie.  there's also no reason your parents should be in the room during the pelvic, and you can ask your doc to state its policy to not have family in the room during a private exam","human_ref_B":"At some point you have to say no to your parents. These things will never end if you don\u2019t draw the line in the sand. If you\u2019re financially reliant on them then you need to find a way to become self sufficient as soon as possible. Today it\u2019s a virginity check, next I promise you it will be manipulation into an arranged marriage.    My friend went home for a visit and his mom literally said she was going to kill herself if he didn\u2019t take a wife. The mom locked herself in a room and refused to eat or drink for days. Finally  he relented and married.   Goodluck   Edit: also there\u2019s only one reason for an emergency virginity check. Whatever you do DO NOT TRAVEL WITH THEM","labels":0,"seconds_difference":2323.0,"score_ratio":2.6904761905}
-{"post_id":"ts8j90","domain":"askdocs_test","upvote_ratio":0.96,"history":"Parents are forcing me to get a virginity check My parents are basically forcing me to get a virginity check. Trying to make them understand that there is no such thing, is not working and my life is just miserable 24\/7. I just need it done at this point. I'm in my 20s and my regular PCP is a male so for this where my mom will be there, I'll need a female doc. Broken\/not broken, I need the answer to be not broken.  My current plan is to find a female PCP, hop on a virtual visit, explain the situation and if she agrees, book a physical appointment.  Wondering if any docs were in a similar situation where they had to lie in front of the patients parents? Or have a better approach that I should take? I'm in NYC and I do plan on leaving in about two years, so that all of this is in the past but until then I just need some peace.   Thanks!","c_root_id_A":"i2qaqk8","c_root_id_B":"i2q5f9w","created_at_utc_A":1648656489,"created_at_utc_B":1648654344,"score_A":791,"score_B":242,"human_ref_A":"At some point you have to say no to your parents. These things will never end if you don\u2019t draw the line in the sand. If you\u2019re financially reliant on them then you need to find a way to become self sufficient as soon as possible. Today it\u2019s a virginity check, next I promise you it will be manipulation into an arranged marriage.    My friend went home for a visit and his mom literally said she was going to kill herself if he didn\u2019t take a wife. The mom locked herself in a room and refused to eat or drink for days. Finally  he relented and married.   Goodluck   Edit: also there\u2019s only one reason for an emergency virginity check. Whatever you do DO NOT TRAVEL WITH THEM","human_ref_B":"You do not need to consent to any medical care, and if you\u2019re in your 20s your parents have no authority to receive information from your medical providers.    A hymen can be intact after sex, it can be ruptured without having sex. That\u2019s not a clear indication of virginity.   I imagine that this is a cultural or religious driven, but this seems abusive to me as a medical care provider.","labels":1,"seconds_difference":2145.0,"score_ratio":3.2685950413}
-{"post_id":"ts8j90","domain":"askdocs_test","upvote_ratio":0.96,"history":"Parents are forcing me to get a virginity check My parents are basically forcing me to get a virginity check. Trying to make them understand that there is no such thing, is not working and my life is just miserable 24\/7. I just need it done at this point. I'm in my 20s and my regular PCP is a male so for this where my mom will be there, I'll need a female doc. Broken\/not broken, I need the answer to be not broken.  My current plan is to find a female PCP, hop on a virtual visit, explain the situation and if she agrees, book a physical appointment.  Wondering if any docs were in a similar situation where they had to lie in front of the patients parents? Or have a better approach that I should take? I'm in NYC and I do plan on leaving in about two years, so that all of this is in the past but until then I just need some peace.   Thanks!","c_root_id_A":"i2qw2et","c_root_id_B":"i2qp7ax","created_at_utc_A":1648664897,"created_at_utc_B":1648662197,"score_A":161,"score_B":65,"human_ref_A":"Your doctor should be able to explain that this exam is not real to your parents. They may also be willing and able to talk to your parents and lie to them to say that they have examined you previously and you are a virgin. However, since this exam is not a real exam and would be sexual assault, your doctor should not actually pretend to examine you in this manner as a show for your family. Nor should anyone else your family knows perform this \u201cexam\u201d. If anyone tries to, you can file a report with the police and they can be convicted of sexual assault and will lose any kind of medical privileges they had.  Most importantly, it sounds like your parents may be arranging to forcibly marry you. Do not travel abroad with them. Do not get on a plane with them. If they try to forcibly travel abroad with you, tell the TSA that that you are being trafficked, and they will remove you from the group.   The national domestic violence hotline is here: 800-799-7233. They can help you with your situation.","human_ref_B":"There is no such thing as a virginity test. No real doctor would ever do one. If a someone asks me to not tell their parents something ill try to figure out a way to phrase something in a way that is vague. I would say something along the lines \u201c everything looks completely normal\u201d or \u201c i see nothing at all that should concern you in any way\u201d but at this point your parents should have no control over your body if possible you need to draw a line.","labels":1,"seconds_difference":2700.0,"score_ratio":2.4769230769}
-{"post_id":"ts8j90","domain":"askdocs_test","upvote_ratio":0.96,"history":"Parents are forcing me to get a virginity check My parents are basically forcing me to get a virginity check. Trying to make them understand that there is no such thing, is not working and my life is just miserable 24\/7. I just need it done at this point. I'm in my 20s and my regular PCP is a male so for this where my mom will be there, I'll need a female doc. Broken\/not broken, I need the answer to be not broken.  My current plan is to find a female PCP, hop on a virtual visit, explain the situation and if she agrees, book a physical appointment.  Wondering if any docs were in a similar situation where they had to lie in front of the patients parents? Or have a better approach that I should take? I'm in NYC and I do plan on leaving in about two years, so that all of this is in the past but until then I just need some peace.   Thanks!","c_root_id_A":"i2qw2et","c_root_id_B":"i2qg60f","created_at_utc_A":1648664897,"created_at_utc_B":1648658646,"score_A":161,"score_B":49,"human_ref_A":"Your doctor should be able to explain that this exam is not real to your parents. They may also be willing and able to talk to your parents and lie to them to say that they have examined you previously and you are a virgin. However, since this exam is not a real exam and would be sexual assault, your doctor should not actually pretend to examine you in this manner as a show for your family. Nor should anyone else your family knows perform this \u201cexam\u201d. If anyone tries to, you can file a report with the police and they can be convicted of sexual assault and will lose any kind of medical privileges they had.  Most importantly, it sounds like your parents may be arranging to forcibly marry you. Do not travel abroad with them. Do not get on a plane with them. If they try to forcibly travel abroad with you, tell the TSA that that you are being trafficked, and they will remove you from the group.   The national domestic violence hotline is here: 800-799-7233. They can help you with your situation.","human_ref_B":"You\u2019re 20 something years old. Say no to your parents whenever they bring it up. I know this might be difficult for cultural reasons, but you are your own person and you can stand up for yourself.   Good luck op.","labels":1,"seconds_difference":6251.0,"score_ratio":3.2857142857}
-{"post_id":"ts8j90","domain":"askdocs_test","upvote_ratio":0.96,"history":"Parents are forcing me to get a virginity check My parents are basically forcing me to get a virginity check. Trying to make them understand that there is no such thing, is not working and my life is just miserable 24\/7. I just need it done at this point. I'm in my 20s and my regular PCP is a male so for this where my mom will be there, I'll need a female doc. Broken\/not broken, I need the answer to be not broken.  My current plan is to find a female PCP, hop on a virtual visit, explain the situation and if she agrees, book a physical appointment.  Wondering if any docs were in a similar situation where they had to lie in front of the patients parents? Or have a better approach that I should take? I'm in NYC and I do plan on leaving in about two years, so that all of this is in the past but until then I just need some peace.   Thanks!","c_root_id_A":"i2qw2et","c_root_id_B":"i2qrs1k","created_at_utc_A":1648664897,"created_at_utc_B":1648663202,"score_A":161,"score_B":42,"human_ref_A":"Your doctor should be able to explain that this exam is not real to your parents. They may also be willing and able to talk to your parents and lie to them to say that they have examined you previously and you are a virgin. However, since this exam is not a real exam and would be sexual assault, your doctor should not actually pretend to examine you in this manner as a show for your family. Nor should anyone else your family knows perform this \u201cexam\u201d. If anyone tries to, you can file a report with the police and they can be convicted of sexual assault and will lose any kind of medical privileges they had.  Most importantly, it sounds like your parents may be arranging to forcibly marry you. Do not travel abroad with them. Do not get on a plane with them. If they try to forcibly travel abroad with you, tell the TSA that that you are being trafficked, and they will remove you from the group.   The national domestic violence hotline is here: 800-799-7233. They can help you with your situation.","human_ref_B":"> My parents are basically forcing me to get a virginity check  1) Why?  2) This is not a thing  3) You said you\u2019re in NYC, so it\u2019s important you know your rights. You\u2019re over 18, so your medical privacy is guaranteed under the law. Your parents cannot be present for an exam without your consent, and they cannot access your medical records without your consent. Do not give them consent, do not provide any physician with consent to release your medical records or any information about your health to others.","labels":1,"seconds_difference":1695.0,"score_ratio":3.8333333333}
-{"post_id":"ts8j90","domain":"askdocs_test","upvote_ratio":0.96,"history":"Parents are forcing me to get a virginity check My parents are basically forcing me to get a virginity check. Trying to make them understand that there is no such thing, is not working and my life is just miserable 24\/7. I just need it done at this point. I'm in my 20s and my regular PCP is a male so for this where my mom will be there, I'll need a female doc. Broken\/not broken, I need the answer to be not broken.  My current plan is to find a female PCP, hop on a virtual visit, explain the situation and if she agrees, book a physical appointment.  Wondering if any docs were in a similar situation where they had to lie in front of the patients parents? Or have a better approach that I should take? I'm in NYC and I do plan on leaving in about two years, so that all of this is in the past but until then I just need some peace.   Thanks!","c_root_id_A":"i2qg60f","c_root_id_B":"i2qp7ax","created_at_utc_A":1648658646,"created_at_utc_B":1648662197,"score_A":49,"score_B":65,"human_ref_A":"You\u2019re 20 something years old. Say no to your parents whenever they bring it up. I know this might be difficult for cultural reasons, but you are your own person and you can stand up for yourself.   Good luck op.","human_ref_B":"There is no such thing as a virginity test. No real doctor would ever do one. If a someone asks me to not tell their parents something ill try to figure out a way to phrase something in a way that is vague. I would say something along the lines \u201c everything looks completely normal\u201d or \u201c i see nothing at all that should concern you in any way\u201d but at this point your parents should have no control over your body if possible you need to draw a line.","labels":0,"seconds_difference":3551.0,"score_ratio":1.3265306122}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8wj8w","c_root_id_B":"fk8wmui","created_at_utc_A":1583964222,"created_at_utc_B":1583964273,"score_A":100,"score_B":227,"human_ref_A":"If one has only one symptom, I for example am having a sore throat but so far nothing else, should one be wary or is it only when you have several symptoms? I've heard some people barely have any symptoms at all. I'm a little worried, since I live with several others.","human_ref_B":"I am honestly really surprised r\/AskDocs is going to try and address covid-19.  I have two questions. The first is your thoughts on reports coming out that covid-19 has been found in in cerebral\/spinal fluid of diagnosed patients, entering the central nervous system, similar to HSV and EBV viruses. What are the real life implications of this? Does it make it likely that the infected could suffer lifelong nervous system consequences?  Second question: if the emergency medical systems become overwhelmed and there is not enough medical equipment to keep people alive, (respirators, ICU beds, etc) how will decisions be made as to who's life gets saved? Will some be forced to suffer and die alone or will end of life comfort care be given?","labels":0,"seconds_difference":51.0,"score_ratio":2.27}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8wmui","c_root_id_B":"fk8urpp","created_at_utc_A":1583964273,"created_at_utc_B":1583963303,"score_A":227,"score_B":85,"human_ref_A":"I am honestly really surprised r\/AskDocs is going to try and address covid-19.  I have two questions. The first is your thoughts on reports coming out that covid-19 has been found in in cerebral\/spinal fluid of diagnosed patients, entering the central nervous system, similar to HSV and EBV viruses. What are the real life implications of this? Does it make it likely that the infected could suffer lifelong nervous system consequences?  Second question: if the emergency medical systems become overwhelmed and there is not enough medical equipment to keep people alive, (respirators, ICU beds, etc) how will decisions be made as to who's life gets saved? Will some be forced to suffer and die alone or will end of life comfort care be given?","human_ref_B":"Can anyone who\u2019s tested positive for this tell us what your initial symptoms were? I\u2019m not panicking but I might be coming down with something and I don\u2019t want to subject my relatives if I don\u2019t have to. Did you feel run down initially? Sore throat next?  What were your initial symptoms before you got bad?","labels":1,"seconds_difference":970.0,"score_ratio":2.6705882353}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8wmui","c_root_id_B":"fk8uai4","created_at_utc_A":1583964273,"created_at_utc_B":1583963046,"score_A":227,"score_B":60,"human_ref_A":"I am honestly really surprised r\/AskDocs is going to try and address covid-19.  I have two questions. The first is your thoughts on reports coming out that covid-19 has been found in in cerebral\/spinal fluid of diagnosed patients, entering the central nervous system, similar to HSV and EBV viruses. What are the real life implications of this? Does it make it likely that the infected could suffer lifelong nervous system consequences?  Second question: if the emergency medical systems become overwhelmed and there is not enough medical equipment to keep people alive, (respirators, ICU beds, etc) how will decisions be made as to who's life gets saved? Will some be forced to suffer and die alone or will end of life comfort care be given?","human_ref_B":"I have a 2 week old baby- I havent seen\/heard anything about how Covid-19 affects newborns. She is currently being breastfed during the day and formula fed at night. Are there any other precautions I should be aware of (besides making sure that we wash our hands and limit contact with the outside world?)","labels":1,"seconds_difference":1227.0,"score_ratio":3.7833333333}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8wmui","c_root_id_B":"fk8upmk","created_at_utc_A":1583964273,"created_at_utc_B":1583963270,"score_A":227,"score_B":50,"human_ref_A":"I am honestly really surprised r\/AskDocs is going to try and address covid-19.  I have two questions. The first is your thoughts on reports coming out that covid-19 has been found in in cerebral\/spinal fluid of diagnosed patients, entering the central nervous system, similar to HSV and EBV viruses. What are the real life implications of this? Does it make it likely that the infected could suffer lifelong nervous system consequences?  Second question: if the emergency medical systems become overwhelmed and there is not enough medical equipment to keep people alive, (respirators, ICU beds, etc) how will decisions be made as to who's life gets saved? Will some be forced to suffer and die alone or will end of life comfort care be given?","human_ref_B":"I know a lot of people in the Asthma sub are concerned. For example some individuals wonder if they should stop taking their controller meds, (or oral steroids for more severe cases) because of something that they have read online.   My daughter takes a daily corticosteroid inhaler during cold and flu season because her exacerbations are caused by viruses. The Flovent inhaler is relatively new for us (Flovent HFA 44mcg 2 puffs twice a day), she started in in January after two flare ups from cold or flu viruses. Is there any reason that asthma patients should be concerned about continued use of their maintenance medications?   Thank you for this.","labels":1,"seconds_difference":1003.0,"score_ratio":4.54}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8wmui","c_root_id_B":"fk8qpb6","created_at_utc_A":1583964273,"created_at_utc_B":1583961086,"score_A":227,"score_B":39,"human_ref_A":"I am honestly really surprised r\/AskDocs is going to try and address covid-19.  I have two questions. The first is your thoughts on reports coming out that covid-19 has been found in in cerebral\/spinal fluid of diagnosed patients, entering the central nervous system, similar to HSV and EBV viruses. What are the real life implications of this? Does it make it likely that the infected could suffer lifelong nervous system consequences?  Second question: if the emergency medical systems become overwhelmed and there is not enough medical equipment to keep people alive, (respirators, ICU beds, etc) how will decisions be made as to who's life gets saved? Will some be forced to suffer and die alone or will end of life comfort care be given?","human_ref_B":"What are medical professionals' opinions on the handling of this issue in popular media? I feel that the media has sensationalized this outbreak a lot, causing unnecessary panic and xenophobia. Is the alarmist tone in news stories warranted?  Edit: I'm getting downvoted and I want to be clear that I am in no way trying to downplay a serious thing. I am also aware that my newsfeed can look very different from other people's newsfeeds. I did a lot of research regarding the xenophobia aspect of alarmist headlines and that may have affected my newsfeed as well as my outlook on things. I'm East Asian and the rampant racism I saw online has coloured me quite cynical.  I appreciate all the physicians answering my question with their opinions. I also appreciate doing our due diligence to take illnesses seriously and protect ourselves and others.","labels":1,"seconds_difference":3187.0,"score_ratio":5.8205128205}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8s6nx","c_root_id_B":"fk8wmui","created_at_utc_A":1583961898,"created_at_utc_B":1583964273,"score_A":35,"score_B":227,"human_ref_A":"Hey docs,  I am a 40 year old male generally healthy and fit, non-smoker, minimal drinker. I had pneumonia 2 years ago and had a few weeks off work. I have not had pneumonia since but am wondering whether having previously had it makes me high risk for COVID-19?","human_ref_B":"I am honestly really surprised r\/AskDocs is going to try and address covid-19.  I have two questions. The first is your thoughts on reports coming out that covid-19 has been found in in cerebral\/spinal fluid of diagnosed patients, entering the central nervous system, similar to HSV and EBV viruses. What are the real life implications of this? Does it make it likely that the infected could suffer lifelong nervous system consequences?  Second question: if the emergency medical systems become overwhelmed and there is not enough medical equipment to keep people alive, (respirators, ICU beds, etc) how will decisions be made as to who's life gets saved? Will some be forced to suffer and die alone or will end of life comfort care be given?","labels":0,"seconds_difference":2375.0,"score_ratio":6.4857142857}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8v8l9","c_root_id_B":"fk8wmui","created_at_utc_A":1583963551,"created_at_utc_B":1583964273,"score_A":36,"score_B":227,"human_ref_A":"My dad is bedridden and I am going to be in quarantine at home, just for precaution. Any tips in how to not contaminate him? Have in mind that I have to feed him and change him.","human_ref_B":"I am honestly really surprised r\/AskDocs is going to try and address covid-19.  I have two questions. The first is your thoughts on reports coming out that covid-19 has been found in in cerebral\/spinal fluid of diagnosed patients, entering the central nervous system, similar to HSV and EBV viruses. What are the real life implications of this? Does it make it likely that the infected could suffer lifelong nervous system consequences?  Second question: if the emergency medical systems become overwhelmed and there is not enough medical equipment to keep people alive, (respirators, ICU beds, etc) how will decisions be made as to who's life gets saved? Will some be forced to suffer and die alone or will end of life comfort care be given?","labels":0,"seconds_difference":722.0,"score_ratio":6.3055555556}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8xg6c","c_root_id_B":"fk8wj8w","created_at_utc_A":1583964700,"created_at_utc_B":1583964222,"score_A":143,"score_B":100,"human_ref_A":"How do you know at what point you need to seek medical attention? Is there a point where it is too late?","human_ref_B":"If one has only one symptom, I for example am having a sore throat but so far nothing else, should one be wary or is it only when you have several symptoms? I've heard some people barely have any symptoms at all. I'm a little worried, since I live with several others.","labels":1,"seconds_difference":478.0,"score_ratio":1.43}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8xg6c","c_root_id_B":"fk8urpp","created_at_utc_A":1583964700,"created_at_utc_B":1583963303,"score_A":143,"score_B":85,"human_ref_A":"How do you know at what point you need to seek medical attention? Is there a point where it is too late?","human_ref_B":"Can anyone who\u2019s tested positive for this tell us what your initial symptoms were? I\u2019m not panicking but I might be coming down with something and I don\u2019t want to subject my relatives if I don\u2019t have to. Did you feel run down initially? Sore throat next?  What were your initial symptoms before you got bad?","labels":1,"seconds_difference":1397.0,"score_ratio":1.6823529412}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8uai4","c_root_id_B":"fk8xg6c","created_at_utc_A":1583963046,"created_at_utc_B":1583964700,"score_A":60,"score_B":143,"human_ref_A":"I have a 2 week old baby- I havent seen\/heard anything about how Covid-19 affects newborns. She is currently being breastfed during the day and formula fed at night. Are there any other precautions I should be aware of (besides making sure that we wash our hands and limit contact with the outside world?)","human_ref_B":"How do you know at what point you need to seek medical attention? Is there a point where it is too late?","labels":0,"seconds_difference":1654.0,"score_ratio":2.3833333333}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8upmk","c_root_id_B":"fk8xg6c","created_at_utc_A":1583963270,"created_at_utc_B":1583964700,"score_A":50,"score_B":143,"human_ref_A":"I know a lot of people in the Asthma sub are concerned. For example some individuals wonder if they should stop taking their controller meds, (or oral steroids for more severe cases) because of something that they have read online.   My daughter takes a daily corticosteroid inhaler during cold and flu season because her exacerbations are caused by viruses. The Flovent inhaler is relatively new for us (Flovent HFA 44mcg 2 puffs twice a day), she started in in January after two flare ups from cold or flu viruses. Is there any reason that asthma patients should be concerned about continued use of their maintenance medications?   Thank you for this.","human_ref_B":"How do you know at what point you need to seek medical attention? Is there a point where it is too late?","labels":0,"seconds_difference":1430.0,"score_ratio":2.86}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8xg6c","c_root_id_B":"fk8qpb6","created_at_utc_A":1583964700,"created_at_utc_B":1583961086,"score_A":143,"score_B":39,"human_ref_A":"How do you know at what point you need to seek medical attention? Is there a point where it is too late?","human_ref_B":"What are medical professionals' opinions on the handling of this issue in popular media? I feel that the media has sensationalized this outbreak a lot, causing unnecessary panic and xenophobia. Is the alarmist tone in news stories warranted?  Edit: I'm getting downvoted and I want to be clear that I am in no way trying to downplay a serious thing. I am also aware that my newsfeed can look very different from other people's newsfeeds. I did a lot of research regarding the xenophobia aspect of alarmist headlines and that may have affected my newsfeed as well as my outlook on things. I'm East Asian and the rampant racism I saw online has coloured me quite cynical.  I appreciate all the physicians answering my question with their opinions. I also appreciate doing our due diligence to take illnesses seriously and protect ourselves and others.","labels":1,"seconds_difference":3614.0,"score_ratio":3.6666666667}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8s6nx","c_root_id_B":"fk8xg6c","created_at_utc_A":1583961898,"created_at_utc_B":1583964700,"score_A":35,"score_B":143,"human_ref_A":"Hey docs,  I am a 40 year old male generally healthy and fit, non-smoker, minimal drinker. I had pneumonia 2 years ago and had a few weeks off work. I have not had pneumonia since but am wondering whether having previously had it makes me high risk for COVID-19?","human_ref_B":"How do you know at what point you need to seek medical attention? Is there a point where it is too late?","labels":0,"seconds_difference":2802.0,"score_ratio":4.0857142857}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8v8l9","c_root_id_B":"fk8xg6c","created_at_utc_A":1583963551,"created_at_utc_B":1583964700,"score_A":36,"score_B":143,"human_ref_A":"My dad is bedridden and I am going to be in quarantine at home, just for precaution. Any tips in how to not contaminate him? Have in mind that I have to feed him and change him.","human_ref_B":"How do you know at what point you need to seek medical attention? Is there a point where it is too late?","labels":0,"seconds_difference":1149.0,"score_ratio":3.9722222222}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8urpp","c_root_id_B":"fk8wj8w","created_at_utc_A":1583963303,"created_at_utc_B":1583964222,"score_A":85,"score_B":100,"human_ref_A":"Can anyone who\u2019s tested positive for this tell us what your initial symptoms were? I\u2019m not panicking but I might be coming down with something and I don\u2019t want to subject my relatives if I don\u2019t have to. Did you feel run down initially? Sore throat next?  What were your initial symptoms before you got bad?","human_ref_B":"If one has only one symptom, I for example am having a sore throat but so far nothing else, should one be wary or is it only when you have several symptoms? I've heard some people barely have any symptoms at all. I'm a little worried, since I live with several others.","labels":0,"seconds_difference":919.0,"score_ratio":1.1764705882}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8uai4","c_root_id_B":"fk8wj8w","created_at_utc_A":1583963046,"created_at_utc_B":1583964222,"score_A":60,"score_B":100,"human_ref_A":"I have a 2 week old baby- I havent seen\/heard anything about how Covid-19 affects newborns. She is currently being breastfed during the day and formula fed at night. Are there any other precautions I should be aware of (besides making sure that we wash our hands and limit contact with the outside world?)","human_ref_B":"If one has only one symptom, I for example am having a sore throat but so far nothing else, should one be wary or is it only when you have several symptoms? I've heard some people barely have any symptoms at all. I'm a little worried, since I live with several others.","labels":0,"seconds_difference":1176.0,"score_ratio":1.6666666667}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8upmk","c_root_id_B":"fk8wj8w","created_at_utc_A":1583963270,"created_at_utc_B":1583964222,"score_A":50,"score_B":100,"human_ref_A":"I know a lot of people in the Asthma sub are concerned. For example some individuals wonder if they should stop taking their controller meds, (or oral steroids for more severe cases) because of something that they have read online.   My daughter takes a daily corticosteroid inhaler during cold and flu season because her exacerbations are caused by viruses. The Flovent inhaler is relatively new for us (Flovent HFA 44mcg 2 puffs twice a day), she started in in January after two flare ups from cold or flu viruses. Is there any reason that asthma patients should be concerned about continued use of their maintenance medications?   Thank you for this.","human_ref_B":"If one has only one symptom, I for example am having a sore throat but so far nothing else, should one be wary or is it only when you have several symptoms? I've heard some people barely have any symptoms at all. I'm a little worried, since I live with several others.","labels":0,"seconds_difference":952.0,"score_ratio":2.0}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8qpb6","c_root_id_B":"fk8wj8w","created_at_utc_A":1583961086,"created_at_utc_B":1583964222,"score_A":39,"score_B":100,"human_ref_A":"What are medical professionals' opinions on the handling of this issue in popular media? I feel that the media has sensationalized this outbreak a lot, causing unnecessary panic and xenophobia. Is the alarmist tone in news stories warranted?  Edit: I'm getting downvoted and I want to be clear that I am in no way trying to downplay a serious thing. I am also aware that my newsfeed can look very different from other people's newsfeeds. I did a lot of research regarding the xenophobia aspect of alarmist headlines and that may have affected my newsfeed as well as my outlook on things. I'm East Asian and the rampant racism I saw online has coloured me quite cynical.  I appreciate all the physicians answering my question with their opinions. I also appreciate doing our due diligence to take illnesses seriously and protect ourselves and others.","human_ref_B":"If one has only one symptom, I for example am having a sore throat but so far nothing else, should one be wary or is it only when you have several symptoms? I've heard some people barely have any symptoms at all. I'm a little worried, since I live with several others.","labels":0,"seconds_difference":3136.0,"score_ratio":2.5641025641}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8s6nx","c_root_id_B":"fk8wj8w","created_at_utc_A":1583961898,"created_at_utc_B":1583964222,"score_A":35,"score_B":100,"human_ref_A":"Hey docs,  I am a 40 year old male generally healthy and fit, non-smoker, minimal drinker. I had pneumonia 2 years ago and had a few weeks off work. I have not had pneumonia since but am wondering whether having previously had it makes me high risk for COVID-19?","human_ref_B":"If one has only one symptom, I for example am having a sore throat but so far nothing else, should one be wary or is it only when you have several symptoms? I've heard some people barely have any symptoms at all. I'm a little worried, since I live with several others.","labels":0,"seconds_difference":2324.0,"score_ratio":2.8571428571}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8wj8w","c_root_id_B":"fk8v8l9","created_at_utc_A":1583964222,"created_at_utc_B":1583963551,"score_A":100,"score_B":36,"human_ref_A":"If one has only one symptom, I for example am having a sore throat but so far nothing else, should one be wary or is it only when you have several symptoms? I've heard some people barely have any symptoms at all. I'm a little worried, since I live with several others.","human_ref_B":"My dad is bedridden and I am going to be in quarantine at home, just for precaution. Any tips in how to not contaminate him? Have in mind that I have to feed him and change him.","labels":1,"seconds_difference":671.0,"score_ratio":2.7777777778}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8urpp","c_root_id_B":"fk90hcj","created_at_utc_A":1583963303,"created_at_utc_B":1583966296,"score_A":85,"score_B":96,"human_ref_A":"Can anyone who\u2019s tested positive for this tell us what your initial symptoms were? I\u2019m not panicking but I might be coming down with something and I don\u2019t want to subject my relatives if I don\u2019t have to. Did you feel run down initially? Sore throat next?  What were your initial symptoms before you got bad?","human_ref_B":"One guy posted on here recently about \u201chaving coronavirus\u201d because he tested negative for flu. I can\u2019t believe this has to be said, but here goes; being sick and flu negative, does not mean you have coronavirus.","labels":0,"seconds_difference":2993.0,"score_ratio":1.1294117647}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk90hcj","c_root_id_B":"fk8uai4","created_at_utc_A":1583966296,"created_at_utc_B":1583963046,"score_A":96,"score_B":60,"human_ref_A":"One guy posted on here recently about \u201chaving coronavirus\u201d because he tested negative for flu. I can\u2019t believe this has to be said, but here goes; being sick and flu negative, does not mean you have coronavirus.","human_ref_B":"I have a 2 week old baby- I havent seen\/heard anything about how Covid-19 affects newborns. She is currently being breastfed during the day and formula fed at night. Are there any other precautions I should be aware of (besides making sure that we wash our hands and limit contact with the outside world?)","labels":1,"seconds_difference":3250.0,"score_ratio":1.6}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk90hcj","c_root_id_B":"fk8upmk","created_at_utc_A":1583966296,"created_at_utc_B":1583963270,"score_A":96,"score_B":50,"human_ref_A":"One guy posted on here recently about \u201chaving coronavirus\u201d because he tested negative for flu. I can\u2019t believe this has to be said, but here goes; being sick and flu negative, does not mean you have coronavirus.","human_ref_B":"I know a lot of people in the Asthma sub are concerned. For example some individuals wonder if they should stop taking their controller meds, (or oral steroids for more severe cases) because of something that they have read online.   My daughter takes a daily corticosteroid inhaler during cold and flu season because her exacerbations are caused by viruses. The Flovent inhaler is relatively new for us (Flovent HFA 44mcg 2 puffs twice a day), she started in in January after two flare ups from cold or flu viruses. Is there any reason that asthma patients should be concerned about continued use of their maintenance medications?   Thank you for this.","labels":1,"seconds_difference":3026.0,"score_ratio":1.92}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk90eqk","c_root_id_B":"fk90hcj","created_at_utc_A":1583966258,"created_at_utc_B":1583966296,"score_A":47,"score_B":96,"human_ref_A":"If someone gets it can they get it a second time or do they develop some immunity to it?","human_ref_B":"One guy posted on here recently about \u201chaving coronavirus\u201d because he tested negative for flu. I can\u2019t believe this has to be said, but here goes; being sick and flu negative, does not mean you have coronavirus.","labels":0,"seconds_difference":38.0,"score_ratio":2.0425531915}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8qpb6","c_root_id_B":"fk90hcj","created_at_utc_A":1583961086,"created_at_utc_B":1583966296,"score_A":39,"score_B":96,"human_ref_A":"What are medical professionals' opinions on the handling of this issue in popular media? I feel that the media has sensationalized this outbreak a lot, causing unnecessary panic and xenophobia. Is the alarmist tone in news stories warranted?  Edit: I'm getting downvoted and I want to be clear that I am in no way trying to downplay a serious thing. I am also aware that my newsfeed can look very different from other people's newsfeeds. I did a lot of research regarding the xenophobia aspect of alarmist headlines and that may have affected my newsfeed as well as my outlook on things. I'm East Asian and the rampant racism I saw online has coloured me quite cynical.  I appreciate all the physicians answering my question with their opinions. I also appreciate doing our due diligence to take illnesses seriously and protect ourselves and others.","human_ref_B":"One guy posted on here recently about \u201chaving coronavirus\u201d because he tested negative for flu. I can\u2019t believe this has to be said, but here goes; being sick and flu negative, does not mean you have coronavirus.","labels":0,"seconds_difference":5210.0,"score_ratio":2.4615384615}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8s6nx","c_root_id_B":"fk90hcj","created_at_utc_A":1583961898,"created_at_utc_B":1583966296,"score_A":35,"score_B":96,"human_ref_A":"Hey docs,  I am a 40 year old male generally healthy and fit, non-smoker, minimal drinker. I had pneumonia 2 years ago and had a few weeks off work. I have not had pneumonia since but am wondering whether having previously had it makes me high risk for COVID-19?","human_ref_B":"One guy posted on here recently about \u201chaving coronavirus\u201d because he tested negative for flu. I can\u2019t believe this has to be said, but here goes; being sick and flu negative, does not mean you have coronavirus.","labels":0,"seconds_difference":4398.0,"score_ratio":2.7428571429}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk90hcj","c_root_id_B":"fk8v8l9","created_at_utc_A":1583966296,"created_at_utc_B":1583963551,"score_A":96,"score_B":36,"human_ref_A":"One guy posted on here recently about \u201chaving coronavirus\u201d because he tested negative for flu. I can\u2019t believe this has to be said, but here goes; being sick and flu negative, does not mean you have coronavirus.","human_ref_B":"My dad is bedridden and I am going to be in quarantine at home, just for precaution. Any tips in how to not contaminate him? Have in mind that I have to feed him and change him.","labels":1,"seconds_difference":2745.0,"score_ratio":2.6666666667}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8yk7q","c_root_id_B":"fk90hcj","created_at_utc_A":1583965280,"created_at_utc_B":1583966296,"score_A":34,"score_B":96,"human_ref_A":"Is it better to stay home if you suspect you have it (unless you need medical care) or to get tested so they have a record of it if that\u2019s what\u2019s wrong?   I am sick but at this point it\u2019s something I can handle at home, I\u2019m just not sure if I\u2019m supposed to be tested to see what it is since they\u2019re keeping track of reported cases or if it\u2019s better to stay home and not risk infecting anyone else. There are confirmed cases in my state but not (yet) in my town, if that matters.","human_ref_B":"One guy posted on here recently about \u201chaving coronavirus\u201d because he tested negative for flu. I can\u2019t believe this has to be said, but here goes; being sick and flu negative, does not mean you have coronavirus.","labels":0,"seconds_difference":1016.0,"score_ratio":2.8235294118}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8uai4","c_root_id_B":"fk8urpp","created_at_utc_A":1583963046,"created_at_utc_B":1583963303,"score_A":60,"score_B":85,"human_ref_A":"I have a 2 week old baby- I havent seen\/heard anything about how Covid-19 affects newborns. She is currently being breastfed during the day and formula fed at night. Are there any other precautions I should be aware of (besides making sure that we wash our hands and limit contact with the outside world?)","human_ref_B":"Can anyone who\u2019s tested positive for this tell us what your initial symptoms were? I\u2019m not panicking but I might be coming down with something and I don\u2019t want to subject my relatives if I don\u2019t have to. Did you feel run down initially? Sore throat next?  What were your initial symptoms before you got bad?","labels":0,"seconds_difference":257.0,"score_ratio":1.4166666667}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8upmk","c_root_id_B":"fk8urpp","created_at_utc_A":1583963270,"created_at_utc_B":1583963303,"score_A":50,"score_B":85,"human_ref_A":"I know a lot of people in the Asthma sub are concerned. For example some individuals wonder if they should stop taking their controller meds, (or oral steroids for more severe cases) because of something that they have read online.   My daughter takes a daily corticosteroid inhaler during cold and flu season because her exacerbations are caused by viruses. The Flovent inhaler is relatively new for us (Flovent HFA 44mcg 2 puffs twice a day), she started in in January after two flare ups from cold or flu viruses. Is there any reason that asthma patients should be concerned about continued use of their maintenance medications?   Thank you for this.","human_ref_B":"Can anyone who\u2019s tested positive for this tell us what your initial symptoms were? I\u2019m not panicking but I might be coming down with something and I don\u2019t want to subject my relatives if I don\u2019t have to. Did you feel run down initially? Sore throat next?  What were your initial symptoms before you got bad?","labels":0,"seconds_difference":33.0,"score_ratio":1.7}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8qpb6","c_root_id_B":"fk8urpp","created_at_utc_A":1583961086,"created_at_utc_B":1583963303,"score_A":39,"score_B":85,"human_ref_A":"What are medical professionals' opinions on the handling of this issue in popular media? I feel that the media has sensationalized this outbreak a lot, causing unnecessary panic and xenophobia. Is the alarmist tone in news stories warranted?  Edit: I'm getting downvoted and I want to be clear that I am in no way trying to downplay a serious thing. I am also aware that my newsfeed can look very different from other people's newsfeeds. I did a lot of research regarding the xenophobia aspect of alarmist headlines and that may have affected my newsfeed as well as my outlook on things. I'm East Asian and the rampant racism I saw online has coloured me quite cynical.  I appreciate all the physicians answering my question with their opinions. I also appreciate doing our due diligence to take illnesses seriously and protect ourselves and others.","human_ref_B":"Can anyone who\u2019s tested positive for this tell us what your initial symptoms were? I\u2019m not panicking but I might be coming down with something and I don\u2019t want to subject my relatives if I don\u2019t have to. Did you feel run down initially? Sore throat next?  What were your initial symptoms before you got bad?","labels":0,"seconds_difference":2217.0,"score_ratio":2.1794871795}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8urpp","c_root_id_B":"fk8s6nx","created_at_utc_A":1583963303,"created_at_utc_B":1583961898,"score_A":85,"score_B":35,"human_ref_A":"Can anyone who\u2019s tested positive for this tell us what your initial symptoms were? I\u2019m not panicking but I might be coming down with something and I don\u2019t want to subject my relatives if I don\u2019t have to. Did you feel run down initially? Sore throat next?  What were your initial symptoms before you got bad?","human_ref_B":"Hey docs,  I am a 40 year old male generally healthy and fit, non-smoker, minimal drinker. I had pneumonia 2 years ago and had a few weeks off work. I have not had pneumonia since but am wondering whether having previously had it makes me high risk for COVID-19?","labels":1,"seconds_difference":1405.0,"score_ratio":2.4285714286}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8qpb6","c_root_id_B":"fk8uai4","created_at_utc_A":1583961086,"created_at_utc_B":1583963046,"score_A":39,"score_B":60,"human_ref_A":"What are medical professionals' opinions on the handling of this issue in popular media? I feel that the media has sensationalized this outbreak a lot, causing unnecessary panic and xenophobia. Is the alarmist tone in news stories warranted?  Edit: I'm getting downvoted and I want to be clear that I am in no way trying to downplay a serious thing. I am also aware that my newsfeed can look very different from other people's newsfeeds. I did a lot of research regarding the xenophobia aspect of alarmist headlines and that may have affected my newsfeed as well as my outlook on things. I'm East Asian and the rampant racism I saw online has coloured me quite cynical.  I appreciate all the physicians answering my question with their opinions. I also appreciate doing our due diligence to take illnesses seriously and protect ourselves and others.","human_ref_B":"I have a 2 week old baby- I havent seen\/heard anything about how Covid-19 affects newborns. She is currently being breastfed during the day and formula fed at night. Are there any other precautions I should be aware of (besides making sure that we wash our hands and limit contact with the outside world?)","labels":0,"seconds_difference":1960.0,"score_ratio":1.5384615385}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8s6nx","c_root_id_B":"fk8uai4","created_at_utc_A":1583961898,"created_at_utc_B":1583963046,"score_A":35,"score_B":60,"human_ref_A":"Hey docs,  I am a 40 year old male generally healthy and fit, non-smoker, minimal drinker. I had pneumonia 2 years ago and had a few weeks off work. I have not had pneumonia since but am wondering whether having previously had it makes me high risk for COVID-19?","human_ref_B":"I have a 2 week old baby- I havent seen\/heard anything about how Covid-19 affects newborns. She is currently being breastfed during the day and formula fed at night. Are there any other precautions I should be aware of (besides making sure that we wash our hands and limit contact with the outside world?)","labels":0,"seconds_difference":1148.0,"score_ratio":1.7142857143}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8upmk","c_root_id_B":"fk8qpb6","created_at_utc_A":1583963270,"created_at_utc_B":1583961086,"score_A":50,"score_B":39,"human_ref_A":"I know a lot of people in the Asthma sub are concerned. For example some individuals wonder if they should stop taking their controller meds, (or oral steroids for more severe cases) because of something that they have read online.   My daughter takes a daily corticosteroid inhaler during cold and flu season because her exacerbations are caused by viruses. The Flovent inhaler is relatively new for us (Flovent HFA 44mcg 2 puffs twice a day), she started in in January after two flare ups from cold or flu viruses. Is there any reason that asthma patients should be concerned about continued use of their maintenance medications?   Thank you for this.","human_ref_B":"What are medical professionals' opinions on the handling of this issue in popular media? I feel that the media has sensationalized this outbreak a lot, causing unnecessary panic and xenophobia. Is the alarmist tone in news stories warranted?  Edit: I'm getting downvoted and I want to be clear that I am in no way trying to downplay a serious thing. I am also aware that my newsfeed can look very different from other people's newsfeeds. I did a lot of research regarding the xenophobia aspect of alarmist headlines and that may have affected my newsfeed as well as my outlook on things. I'm East Asian and the rampant racism I saw online has coloured me quite cynical.  I appreciate all the physicians answering my question with their opinions. I also appreciate doing our due diligence to take illnesses seriously and protect ourselves and others.","labels":1,"seconds_difference":2184.0,"score_ratio":1.2820512821}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8s6nx","c_root_id_B":"fk8upmk","created_at_utc_A":1583961898,"created_at_utc_B":1583963270,"score_A":35,"score_B":50,"human_ref_A":"Hey docs,  I am a 40 year old male generally healthy and fit, non-smoker, minimal drinker. I had pneumonia 2 years ago and had a few weeks off work. I have not had pneumonia since but am wondering whether having previously had it makes me high risk for COVID-19?","human_ref_B":"I know a lot of people in the Asthma sub are concerned. For example some individuals wonder if they should stop taking their controller meds, (or oral steroids for more severe cases) because of something that they have read online.   My daughter takes a daily corticosteroid inhaler during cold and flu season because her exacerbations are caused by viruses. The Flovent inhaler is relatively new for us (Flovent HFA 44mcg 2 puffs twice a day), she started in in January after two flare ups from cold or flu viruses. Is there any reason that asthma patients should be concerned about continued use of their maintenance medications?   Thank you for this.","labels":0,"seconds_difference":1372.0,"score_ratio":1.4285714286}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk90eqk","c_root_id_B":"fk8qpb6","created_at_utc_A":1583966258,"created_at_utc_B":1583961086,"score_A":47,"score_B":39,"human_ref_A":"If someone gets it can they get it a second time or do they develop some immunity to it?","human_ref_B":"What are medical professionals' opinions on the handling of this issue in popular media? I feel that the media has sensationalized this outbreak a lot, causing unnecessary panic and xenophobia. Is the alarmist tone in news stories warranted?  Edit: I'm getting downvoted and I want to be clear that I am in no way trying to downplay a serious thing. I am also aware that my newsfeed can look very different from other people's newsfeeds. I did a lot of research regarding the xenophobia aspect of alarmist headlines and that may have affected my newsfeed as well as my outlook on things. I'm East Asian and the rampant racism I saw online has coloured me quite cynical.  I appreciate all the physicians answering my question with their opinions. I also appreciate doing our due diligence to take illnesses seriously and protect ourselves and others.","labels":1,"seconds_difference":5172.0,"score_ratio":1.2051282051}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk90eqk","c_root_id_B":"fk8s6nx","created_at_utc_A":1583966258,"created_at_utc_B":1583961898,"score_A":47,"score_B":35,"human_ref_A":"If someone gets it can they get it a second time or do they develop some immunity to it?","human_ref_B":"Hey docs,  I am a 40 year old male generally healthy and fit, non-smoker, minimal drinker. I had pneumonia 2 years ago and had a few weeks off work. I have not had pneumonia since but am wondering whether having previously had it makes me high risk for COVID-19?","labels":1,"seconds_difference":4360.0,"score_ratio":1.3428571429}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8v8l9","c_root_id_B":"fk90eqk","created_at_utc_A":1583963551,"created_at_utc_B":1583966258,"score_A":36,"score_B":47,"human_ref_A":"My dad is bedridden and I am going to be in quarantine at home, just for precaution. Any tips in how to not contaminate him? Have in mind that I have to feed him and change him.","human_ref_B":"If someone gets it can they get it a second time or do they develop some immunity to it?","labels":0,"seconds_difference":2707.0,"score_ratio":1.3055555556}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8yk7q","c_root_id_B":"fk90eqk","created_at_utc_A":1583965280,"created_at_utc_B":1583966258,"score_A":34,"score_B":47,"human_ref_A":"Is it better to stay home if you suspect you have it (unless you need medical care) or to get tested so they have a record of it if that\u2019s what\u2019s wrong?   I am sick but at this point it\u2019s something I can handle at home, I\u2019m just not sure if I\u2019m supposed to be tested to see what it is since they\u2019re keeping track of reported cases or if it\u2019s better to stay home and not risk infecting anyone else. There are confirmed cases in my state but not (yet) in my town, if that matters.","human_ref_B":"If someone gets it can they get it a second time or do they develop some immunity to it?","labels":0,"seconds_difference":978.0,"score_ratio":1.3823529412}
-{"post_id":"fh490h","domain":"askdocs_test","upvote_ratio":0.98,"history":"Coronavirus (COVID-19) questions? Start here! If you have general questions or are looking for information, coronavirus.gov is the CDC's website for information, and the WHO also has a site.   We can't answer every question, especially those about whether you might or do have a case yourself. For general questions that we might be able to answer and that aren't explained in government and international websites, please ask here.","c_root_id_A":"fk8s6nx","c_root_id_B":"fk8v8l9","created_at_utc_A":1583961898,"created_at_utc_B":1583963551,"score_A":35,"score_B":36,"human_ref_A":"Hey docs,  I am a 40 year old male generally healthy and fit, non-smoker, minimal drinker. I had pneumonia 2 years ago and had a few weeks off work. I have not had pneumonia since but am wondering whether having previously had it makes me high risk for COVID-19?","human_ref_B":"My dad is bedridden and I am going to be in quarantine at home, just for precaution. Any tips in how to not contaminate him? Have in mind that I have to feed him and change him.","labels":0,"seconds_difference":1653.0,"score_ratio":1.0285714286}
-{"post_id":"wfektr","domain":"askdocs_test","upvote_ratio":0.98,"history":"My mom has hundreds of tumors all over her body; she has stage IV melanoma cancer. Female, 60, 5'1, 100lbs, non-smoker, California, all over body  She has Stage IV Melanoma, and none of the doctors or medical professionals she's seen has ever encountered anything of its kind. She has hundreds of tumors all over her body. When one googles \"melanoma tumors\", nothing like hers even pops up.  It's the most bizarre thing, ever. It's very depressing. She even asked one doctor \"are you sure it's melanoma?\" and he sort of chuckled and said \"you know what, we said the same thing\" so they ran some tests and I guess yeah it is indeed melanoma.  Could it be something else? I\u2019ve never seen anything like this.","c_root_id_A":"iitl28t","c_root_id_B":"iitm8qs","created_at_utc_A":1659554987,"created_at_utc_B":1659555473,"score_A":111,"score_B":343,"human_ref_A":"More info would be helpful. When was she diagnosed with melanoma and were did they take the tissue from? Did hundreds of tumors develop all over her skin in recent months or did she already have hundreds of melanocytic naevi (benign) that now change? Did she have staging \/ imaging and what were the results? What else did her doctors do apart from chuckling - did they discuss any sort of treatment plan already, and if yes, what?  Edit: Also, could you maybe provide a picture of said tumors?","human_ref_B":"Melanoma is quite aggressive when it becomes metastatic. Tumor needs to be tested for BRAF mutation which may allowed for targeted therapy. Other mutations should also be tested which may predict response to and allow for additional targeted therapy. Immunotherapy is being used all the time. I\u2019ve seen melanoma melt away like butter when we first started using ipi\/novo combination and therapies have only gotten better. Where are you located? Is your mom being treated at or near an academic center? Sorry that you\u2019re going through this. Not sure I\u2019ve seen hundreds of tumors like you\u2019re describing but I\u2019ve seen widely metastatic melanoma plenty.","labels":0,"seconds_difference":486.0,"score_ratio":3.0900900901}
-{"post_id":"wfektr","domain":"askdocs_test","upvote_ratio":0.98,"history":"My mom has hundreds of tumors all over her body; she has stage IV melanoma cancer. Female, 60, 5'1, 100lbs, non-smoker, California, all over body  She has Stage IV Melanoma, and none of the doctors or medical professionals she's seen has ever encountered anything of its kind. She has hundreds of tumors all over her body. When one googles \"melanoma tumors\", nothing like hers even pops up.  It's the most bizarre thing, ever. It's very depressing. She even asked one doctor \"are you sure it's melanoma?\" and he sort of chuckled and said \"you know what, we said the same thing\" so they ran some tests and I guess yeah it is indeed melanoma.  Could it be something else? I\u2019ve never seen anything like this.","c_root_id_A":"iitm8qs","c_root_id_B":"iitjn83","created_at_utc_A":1659555473,"created_at_utc_B":1659554409,"score_A":343,"score_B":33,"human_ref_A":"Melanoma is quite aggressive when it becomes metastatic. Tumor needs to be tested for BRAF mutation which may allowed for targeted therapy. Other mutations should also be tested which may predict response to and allow for additional targeted therapy. Immunotherapy is being used all the time. I\u2019ve seen melanoma melt away like butter when we first started using ipi\/novo combination and therapies have only gotten better. Where are you located? Is your mom being treated at or near an academic center? Sorry that you\u2019re going through this. Not sure I\u2019ve seen hundreds of tumors like you\u2019re describing but I\u2019ve seen widely metastatic melanoma plenty.","human_ref_B":"Could be this  ​  https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK7030\/#:\\~:text=Familial%20atypical%20multiple%20mole%20melanoma%20(FAMMM)%20syndrome%20is%20an%20autosomal,Figure%201%20and%20Figure%202).","labels":1,"seconds_difference":1064.0,"score_ratio":10.3939393939}
-{"post_id":"wfektr","domain":"askdocs_test","upvote_ratio":0.98,"history":"My mom has hundreds of tumors all over her body; she has stage IV melanoma cancer. Female, 60, 5'1, 100lbs, non-smoker, California, all over body  She has Stage IV Melanoma, and none of the doctors or medical professionals she's seen has ever encountered anything of its kind. She has hundreds of tumors all over her body. When one googles \"melanoma tumors\", nothing like hers even pops up.  It's the most bizarre thing, ever. It's very depressing. She even asked one doctor \"are you sure it's melanoma?\" and he sort of chuckled and said \"you know what, we said the same thing\" so they ran some tests and I guess yeah it is indeed melanoma.  Could it be something else? I\u2019ve never seen anything like this.","c_root_id_A":"iitl28t","c_root_id_B":"iitjn83","created_at_utc_A":1659554987,"created_at_utc_B":1659554409,"score_A":111,"score_B":33,"human_ref_A":"More info would be helpful. When was she diagnosed with melanoma and were did they take the tissue from? Did hundreds of tumors develop all over her skin in recent months or did she already have hundreds of melanocytic naevi (benign) that now change? Did she have staging \/ imaging and what were the results? What else did her doctors do apart from chuckling - did they discuss any sort of treatment plan already, and if yes, what?  Edit: Also, could you maybe provide a picture of said tumors?","human_ref_B":"Could be this  ​  https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK7030\/#:\\~:text=Familial%20atypical%20multiple%20mole%20melanoma%20(FAMMM)%20syndrome%20is%20an%20autosomal,Figure%201%20and%20Figure%202).","labels":1,"seconds_difference":578.0,"score_ratio":3.3636363636}
-{"post_id":"wfektr","domain":"askdocs_test","upvote_ratio":0.98,"history":"My mom has hundreds of tumors all over her body; she has stage IV melanoma cancer. Female, 60, 5'1, 100lbs, non-smoker, California, all over body  She has Stage IV Melanoma, and none of the doctors or medical professionals she's seen has ever encountered anything of its kind. She has hundreds of tumors all over her body. When one googles \"melanoma tumors\", nothing like hers even pops up.  It's the most bizarre thing, ever. It's very depressing. She even asked one doctor \"are you sure it's melanoma?\" and he sort of chuckled and said \"you know what, we said the same thing\" so they ran some tests and I guess yeah it is indeed melanoma.  Could it be something else? I\u2019ve never seen anything like this.","c_root_id_A":"iius5v5","c_root_id_B":"iitjn83","created_at_utc_A":1659573761,"created_at_utc_B":1659554409,"score_A":96,"score_B":33,"human_ref_A":"If her physicians are saying they\u2019ve never seen anything like it, it sounds like a second opinion from another oncologist is in order. Check for oncologists at somewhere like the Mayo Clinic or MD Anderson, and see if she can be evaluated there. The American Cancer Society has funds available to help with travel and hotels for things like this.","human_ref_B":"Could be this  ​  https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK7030\/#:\\~:text=Familial%20atypical%20multiple%20mole%20melanoma%20(FAMMM)%20syndrome%20is%20an%20autosomal,Figure%201%20and%20Figure%202).","labels":1,"seconds_difference":19352.0,"score_ratio":2.9090909091}
-{"post_id":"ml8hsj","domain":"askdocs_test","upvote_ratio":0.97,"history":"Received 2nd Moderna shot. Weird side effect? 35 Female. 5'5, 135lbs. By 12 hours after I received it I spiked a fever of 102+, body aches so bad that I couldn't lay still because my bones hurt even, migraine, and chills. My arm is the size of my thigh and I can't move it. But all those are common side effects of the second shot.   Now, here's the weird part that I have been freaked out about, when my fever was at its highest I began to involuntarily stretch. Over and over my body would just stretch. I couldn't control it.  i can't find anything about it online. I can't imagine I'm the only one who has gone through this. Did it have something to do with my fever, dehydration, or what?","c_root_id_A":"gtl8y3r","c_root_id_B":"gtki97h","created_at_utc_A":1617728977,"created_at_utc_B":1617717091,"score_A":105,"score_B":13,"human_ref_A":"Nothing mentioned here sounds concerning. The involuntary need to stretch can happen from a fever directly or indirectly based on how the fever and your body responds to the vaccine, relating to extrapyramidal symptoms.","human_ref_B":"Rigors?","labels":1,"seconds_difference":11886.0,"score_ratio":8.0769230769}
-{"post_id":"ml8hsj","domain":"askdocs_test","upvote_ratio":0.97,"history":"Received 2nd Moderna shot. Weird side effect? 35 Female. 5'5, 135lbs. By 12 hours after I received it I spiked a fever of 102+, body aches so bad that I couldn't lay still because my bones hurt even, migraine, and chills. My arm is the size of my thigh and I can't move it. But all those are common side effects of the second shot.   Now, here's the weird part that I have been freaked out about, when my fever was at its highest I began to involuntarily stretch. Over and over my body would just stretch. I couldn't control it.  i can't find anything about it online. I can't imagine I'm the only one who has gone through this. Did it have something to do with my fever, dehydration, or what?","c_root_id_A":"gtki97h","c_root_id_B":"gtln9dn","created_at_utc_A":1617717091,"created_at_utc_B":1617735234,"score_A":13,"score_B":18,"human_ref_A":"Rigors?","human_ref_B":"So I got the Johnson and Johnson shot on a Saturday morning. I had a horrible headache the whole day but the next morning I woke up with a really strange uncontrollable urge to stretch. I even mentioned it to my mom that I just couldn\u2019t stop stretching and when I actively tried to stretch it didn\u2019t take the feeling of needing to stretch away. I took a nap and when I woke up the weird need for stretching had changed in to bad all over muscle pain and a fever.","labels":0,"seconds_difference":18143.0,"score_ratio":1.3846153846}
-{"post_id":"eizn3z","domain":"askdocs_test","upvote_ratio":0.95,"history":"i'm 26. A female and the world is on fire. Just Australia really, but in all seriousness, respiration is hard for me rn So, I had a really bad flu in like october and since then it's been like downhill. I got another flu in december, which turned into a chest infection. I got antibiotics and like went back because it still feels like someone is squeezing the center of my chest. Doc said I'm fine. Wondering if it's just anxiety or some shit.  ​  Sidenote - I also have anxiety and hashimotos. I am overweight.","c_root_id_A":"fcuk101","c_root_id_B":"fcukgyw","created_at_utc_A":1577982762,"created_at_utc_B":1577983021,"score_A":25,"score_B":135,"human_ref_A":"I'm in so cal and can relate to living with the smoke..... during the fires and for like a month after, I was hitting my inhaler like it was a crack pipe and on anti-biotics....wear a mask, t will be uncomfortable but wear it as much as you can, even indoors.","human_ref_B":"If smoke\/smog is bothering you mention it to your doc, you may have asthma exacerbated by irritants. Respiratory infections can last longer with underlying untreated asthma, but albuterol or another inhaled bronchodilator can help open up your lungs and clear the infection faster.","labels":0,"seconds_difference":259.0,"score_ratio":5.4}
-{"post_id":"eizn3z","domain":"askdocs_test","upvote_ratio":0.95,"history":"i'm 26. A female and the world is on fire. Just Australia really, but in all seriousness, respiration is hard for me rn So, I had a really bad flu in like october and since then it's been like downhill. I got another flu in december, which turned into a chest infection. I got antibiotics and like went back because it still feels like someone is squeezing the center of my chest. Doc said I'm fine. Wondering if it's just anxiety or some shit.  ​  Sidenote - I also have anxiety and hashimotos. I am overweight.","c_root_id_A":"fcukgyw","c_root_id_B":"fcujout","created_at_utc_A":1577983021,"created_at_utc_B":1577982544,"score_A":135,"score_B":23,"human_ref_A":"If smoke\/smog is bothering you mention it to your doc, you may have asthma exacerbated by irritants. Respiratory infections can last longer with underlying untreated asthma, but albuterol or another inhaled bronchodilator can help open up your lungs and clear the infection faster.","human_ref_B":"More information would be helpful, but prolonged and untreated colds or flus can evolve into pneumonia and other issues, perhaps insisting on another checkup is wise.","labels":1,"seconds_difference":477.0,"score_ratio":5.8695652174}
-{"post_id":"eizn3z","domain":"askdocs_test","upvote_ratio":0.95,"history":"i'm 26. A female and the world is on fire. Just Australia really, but in all seriousness, respiration is hard for me rn So, I had a really bad flu in like october and since then it's been like downhill. I got another flu in december, which turned into a chest infection. I got antibiotics and like went back because it still feels like someone is squeezing the center of my chest. Doc said I'm fine. Wondering if it's just anxiety or some shit.  ​  Sidenote - I also have anxiety and hashimotos. I am overweight.","c_root_id_A":"fcuk101","c_root_id_B":"fcurv3y","created_at_utc_A":1577982762,"created_at_utc_B":1577987231,"score_A":25,"score_B":29,"human_ref_A":"I'm in so cal and can relate to living with the smoke..... during the fires and for like a month after, I was hitting my inhaler like it was a crack pipe and on anti-biotics....wear a mask, t will be uncomfortable but wear it as much as you can, even indoors.","human_ref_B":"not a doc but currently based in HK where tear gas is super prevalent. i\u2019m super asthmatic, and i found that wearing a gas mask helps me - not sure if it would help with smoke but i assume so. they\u2019re not too expensive on amazon, so it may be worth having a look into","labels":0,"seconds_difference":4469.0,"score_ratio":1.16}
-{"post_id":"eizn3z","domain":"askdocs_test","upvote_ratio":0.95,"history":"i'm 26. A female and the world is on fire. Just Australia really, but in all seriousness, respiration is hard for me rn So, I had a really bad flu in like october and since then it's been like downhill. I got another flu in december, which turned into a chest infection. I got antibiotics and like went back because it still feels like someone is squeezing the center of my chest. Doc said I'm fine. Wondering if it's just anxiety or some shit.  ​  Sidenote - I also have anxiety and hashimotos. I am overweight.","c_root_id_A":"fcujout","c_root_id_B":"fcurv3y","created_at_utc_A":1577982544,"created_at_utc_B":1577987231,"score_A":23,"score_B":29,"human_ref_A":"More information would be helpful, but prolonged and untreated colds or flus can evolve into pneumonia and other issues, perhaps insisting on another checkup is wise.","human_ref_B":"not a doc but currently based in HK where tear gas is super prevalent. i\u2019m super asthmatic, and i found that wearing a gas mask helps me - not sure if it would help with smoke but i assume so. they\u2019re not too expensive on amazon, so it may be worth having a look into","labels":0,"seconds_difference":4687.0,"score_ratio":1.2608695652}
-{"post_id":"eizn3z","domain":"askdocs_test","upvote_ratio":0.95,"history":"i'm 26. A female and the world is on fire. Just Australia really, but in all seriousness, respiration is hard for me rn So, I had a really bad flu in like october and since then it's been like downhill. I got another flu in december, which turned into a chest infection. I got antibiotics and like went back because it still feels like someone is squeezing the center of my chest. Doc said I'm fine. Wondering if it's just anxiety or some shit.  ​  Sidenote - I also have anxiety and hashimotos. I am overweight.","c_root_id_A":"fcuk101","c_root_id_B":"fcujout","created_at_utc_A":1577982762,"created_at_utc_B":1577982544,"score_A":25,"score_B":23,"human_ref_A":"I'm in so cal and can relate to living with the smoke..... during the fires and for like a month after, I was hitting my inhaler like it was a crack pipe and on anti-biotics....wear a mask, t will be uncomfortable but wear it as much as you can, even indoors.","human_ref_B":"More information would be helpful, but prolonged and untreated colds or flus can evolve into pneumonia and other issues, perhaps insisting on another checkup is wise.","labels":1,"seconds_difference":218.0,"score_ratio":1.0869565217}
-{"post_id":"zwr6xt","domain":"askdocs_test","upvote_ratio":0.95,"history":"Im afraid I\u2019m losing my 9 year old daughter. My daughter just turned 9 a couple weeks ago. Her life has taken a major turn. She\u2019s been the funniest, happiest girl here whole life and now it\u2019s like something took over her brain.  She all of a sudden is stressed all the time, scared to go anywhere, even school. She cries all the time and says \u201cWhat\u2019s wrong with me!\u201d \u201cI wish this could be taken away.\u201d \u201cWhy is my brain doing this to me!?\u201d  It\u2019s absolutely heartbreaking seeing her, especially at such a young age, go through this.  She did start going through puberty early. Starting when she was 7.5 she skyrocketed in height, developed breast and has pubic hair. Though hasnt started her period. If you look at photos of her the year before she doesn\u2019t look like the same person.  Could her issues be related to puberty? Would hormone blockers help her? Are they safe? I miss my happy girl and hate seeing her suffer.","c_root_id_A":"j1x33zw","c_root_id_B":"j1x5t6u","created_at_utc_A":1672189913,"created_at_utc_B":1672191156,"score_A":240,"score_B":949,"human_ref_A":"Im so sorry this is happening to her (and you!). 7.5 is by definition precocious (early) puberty. Did she see a doctor when this was happening? If not, she should to make sure there\u2019s not any kind of physical problems that caused it that could cause other issues.  Its very hard to say what's going on, but its clear that something has changed. It could be anything from physical\/hormonal problems, bullying, anxiety, school stress, even abuse or harassment by somebody. Going through puberty as a young child is really difficult, especially as a girl who will unfortunately start receiving unwanted attention once they start physically maturing\u2014because people are disgusting. See if you can talk to her and figure out what\u2019s happening. Whether or not she wants to talk to you, I would suggest you try to get her to speak to a counselor or therapist who can help her work through whatever\u2019s happening.  I wish you the best.","human_ref_B":"Sounds like it may be time for therapy. Honestly, solid job paying attention to her and how she\u2019s feeling. She\u2019s going through a lot of changes and it sounds like you\u2019re trying to be as attentive as possible.   Research says girls that start puberty younger struggle with body image, self esteem, and anxiety more than their male counterparts and girls who have puberty later. \u201cWhy is my brain doing this to me\u201d sounds like anxiety. There are many many coping skills that she can learn to help this. Therapy could be a huge help. It\u2019s not just for \u201ccrazy people.\u201d Sounds like she just needs a few skills to help her out.   In terms of interacting with her, remind her that she\u2019s safe, you have her covered, and that there is nothing wrong with her. Feelings are not facts. And she\u2019s going to be ok.","labels":0,"seconds_difference":1243.0,"score_ratio":3.9541666667}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffrhvww","c_root_id_B":"ffrfjws","created_at_utc_A":1580158330,"created_at_utc_B":1580157084,"score_A":227,"score_B":37,"human_ref_A":"The toxicology report will eventually come out from the autopsy. If it\u2019s positive for opioids, or less likely other substances, then that\u2019s the probable explanation. If not, then most likely sudden cardiac death, as others have mentioned.  Our guesswork isn\u2019t going to outperform the autopsy.","human_ref_B":"People take opioids and nod off all the time, they make you tired, so it\u2019s not uncommon for drug users to fall asleep when on opioids. I\u2019m sorry for your loss. :( you\u2019re in my prayers","labels":1,"seconds_difference":1246.0,"score_ratio":6.1351351351}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffrfjws","c_root_id_B":"ffry2h3","created_at_utc_A":1580157084,"created_at_utc_B":1580168509,"score_A":37,"score_B":184,"human_ref_A":"People take opioids and nod off all the time, they make you tired, so it\u2019s not uncommon for drug users to fall asleep when on opioids. I\u2019m sorry for your loss. :( you\u2019re in my prayers","human_ref_B":"Not a doctor - lowly pharmacy tech, but I just happened to see a new FDA warning about Lyrica causing breathing problems during sleep. Shot in the dark, but maybe acute respiratory failure?   https:\/\/www.fda.gov\/drugs\/drug-safety-and-availability\/fda-warns-about-serious-breathing-problems-seizure-and-nerve-pain-medicines-gabapentin-neurontin","labels":0,"seconds_difference":11425.0,"score_ratio":4.972972973}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffrfjws","c_root_id_B":"ffs2wle","created_at_utc_A":1580157084,"created_at_utc_B":1580171807,"score_A":37,"score_B":41,"human_ref_A":"People take opioids and nod off all the time, they make you tired, so it\u2019s not uncommon for drug users to fall asleep when on opioids. I\u2019m sorry for your loss. :( you\u2019re in my prayers","human_ref_B":"Is it possible he was drinking an energy drink? Taking Lyrica with an energy drink can cause death. Taking energy drinks alone can cause death especially if there is some unknown cardio issue.","labels":0,"seconds_difference":14723.0,"score_ratio":1.1081081081}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffssd7p","c_root_id_B":"ffsuqjj","created_at_utc_A":1580190711,"created_at_utc_B":1580193236,"score_A":6,"score_B":20,"human_ref_A":"Sorry for your loss, I am interested in hearing the end result.","human_ref_B":"I'm so sorry to hear about your nephew. I'm not a doctor  so please forgive my stupidity with the story I'll tell.  I too, take Lyrica for new onset peripheral neuropathy (likely side effect from Atorvastatin). I've stopped the statin so the neuropathy is getting less frequent but occasionally will flare right up.   I took my single dose of one 50 mg pill around 5pm, prepared for work and around 10pm decided to take some aspirin for back pain.   My husband thoughtfully made sure to repack my pills to include a few Tramadol as well. One 50 mg pill can help with my average pain without interfering with ADL'S.   I decided to take that instead instead of the aspirin and OMG, I had the worst drug interaction. As I said, I should have looked up interactions but didn't think of it. I felt like I was in slow motion, I looked up the drug interactions and found that profound CNS depression was a top side effect.  I had to check into the ER, got 2 liters of fluid, and had to have oxygen for a while because my sat's were in the low 80's.   I always check my Rx's now.  As everyone is suggesting, there's a possibility of an overdose or mixture with another medication. My point is that it doesn't necessarily take a lot to cause an adverse reaction. In my case it was one of each pill.  Hopefully it will be picked up in the toxicology report.","labels":0,"seconds_difference":2525.0,"score_ratio":3.3333333333}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffsftqu","c_root_id_B":"ffsuqjj","created_at_utc_A":1580180663,"created_at_utc_B":1580193236,"score_A":4,"score_B":20,"human_ref_A":"I\u2019m sorry for your loss.   I\u2019ve had tons of surgeries due to cancer complications and on opioids I get insanely groggy, nauseous and my blood pressure drops low. I hate taking them due to how They make me feel.   In hospital though they had to remove pain pump and only do orally due to how shallow my breathing became and low bp. I don\u2019t have many memories of incident last year but my husband said he thought he was about to lose me by how doctors came charging in. I\u2019m not sure if that\u2019s a common issue on them though. Or if something can be caused similar by taking oral form.","human_ref_B":"I'm so sorry to hear about your nephew. I'm not a doctor  so please forgive my stupidity with the story I'll tell.  I too, take Lyrica for new onset peripheral neuropathy (likely side effect from Atorvastatin). I've stopped the statin so the neuropathy is getting less frequent but occasionally will flare right up.   I took my single dose of one 50 mg pill around 5pm, prepared for work and around 10pm decided to take some aspirin for back pain.   My husband thoughtfully made sure to repack my pills to include a few Tramadol as well. One 50 mg pill can help with my average pain without interfering with ADL'S.   I decided to take that instead instead of the aspirin and OMG, I had the worst drug interaction. As I said, I should have looked up interactions but didn't think of it. I felt like I was in slow motion, I looked up the drug interactions and found that profound CNS depression was a top side effect.  I had to check into the ER, got 2 liters of fluid, and had to have oxygen for a while because my sat's were in the low 80's.   I always check my Rx's now.  As everyone is suggesting, there's a possibility of an overdose or mixture with another medication. My point is that it doesn't necessarily take a lot to cause an adverse reaction. In my case it was one of each pill.  Hopefully it will be picked up in the toxicology report.","labels":0,"seconds_difference":12573.0,"score_ratio":5.0}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffsuqjj","c_root_id_B":"ffspxh2","created_at_utc_A":1580193236,"created_at_utc_B":1580188390,"score_A":20,"score_B":4,"human_ref_A":"I'm so sorry to hear about your nephew. I'm not a doctor  so please forgive my stupidity with the story I'll tell.  I too, take Lyrica for new onset peripheral neuropathy (likely side effect from Atorvastatin). I've stopped the statin so the neuropathy is getting less frequent but occasionally will flare right up.   I took my single dose of one 50 mg pill around 5pm, prepared for work and around 10pm decided to take some aspirin for back pain.   My husband thoughtfully made sure to repack my pills to include a few Tramadol as well. One 50 mg pill can help with my average pain without interfering with ADL'S.   I decided to take that instead instead of the aspirin and OMG, I had the worst drug interaction. As I said, I should have looked up interactions but didn't think of it. I felt like I was in slow motion, I looked up the drug interactions and found that profound CNS depression was a top side effect.  I had to check into the ER, got 2 liters of fluid, and had to have oxygen for a while because my sat's were in the low 80's.   I always check my Rx's now.  As everyone is suggesting, there's a possibility of an overdose or mixture with another medication. My point is that it doesn't necessarily take a lot to cause an adverse reaction. In my case it was one of each pill.  Hopefully it will be picked up in the toxicology report.","human_ref_B":"The most likely cause is unintentional overdose or side effects of drug use. Combining drugs makes them very dangerous and may not just add side effects- can multiply them.   Other cardiac or genetic causes are much rarer causes of death. The toxicology will take ages to come back- hang in there.","labels":1,"seconds_difference":4846.0,"score_ratio":5.0}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffsrzdl","c_root_id_B":"ffsuqjj","created_at_utc_A":1580190326,"created_at_utc_B":1580193236,"score_A":5,"score_B":20,"human_ref_A":"So sorry for your sudden loss but I would like to mention long QT as a possible answer to your questions.  it usually doesn\u2019t affect its carriers (most don\u2019t even know they have it). However based on your description it would make sense as the genetic disease causes random heart failure during sleep. might be worthwhile for you and your family to get tested as well. Again i\u2019m terribly sorry for your loss and my condolences for your family. Feel better OP","human_ref_B":"I'm so sorry to hear about your nephew. I'm not a doctor  so please forgive my stupidity with the story I'll tell.  I too, take Lyrica for new onset peripheral neuropathy (likely side effect from Atorvastatin). I've stopped the statin so the neuropathy is getting less frequent but occasionally will flare right up.   I took my single dose of one 50 mg pill around 5pm, prepared for work and around 10pm decided to take some aspirin for back pain.   My husband thoughtfully made sure to repack my pills to include a few Tramadol as well. One 50 mg pill can help with my average pain without interfering with ADL'S.   I decided to take that instead instead of the aspirin and OMG, I had the worst drug interaction. As I said, I should have looked up interactions but didn't think of it. I felt like I was in slow motion, I looked up the drug interactions and found that profound CNS depression was a top side effect.  I had to check into the ER, got 2 liters of fluid, and had to have oxygen for a while because my sat's were in the low 80's.   I always check my Rx's now.  As everyone is suggesting, there's a possibility of an overdose or mixture with another medication. My point is that it doesn't necessarily take a lot to cause an adverse reaction. In my case it was one of each pill.  Hopefully it will be picked up in the toxicology report.","labels":0,"seconds_difference":2910.0,"score_ratio":4.0}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffssd7p","c_root_id_B":"ffsxjy8","created_at_utc_A":1580190711,"created_at_utc_B":1580196633,"score_A":6,"score_B":9,"human_ref_A":"Sorry for your loss, I am interested in hearing the end result.","human_ref_B":"Sorry for your loss.   I used to take lyrica regularly for pain. It's a long way from fun as a recreational drug. This makes me wonder if he was just taking anything he could get his hands on?","labels":0,"seconds_difference":5922.0,"score_ratio":1.5}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffsxjy8","c_root_id_B":"ffsftqu","created_at_utc_A":1580196633,"created_at_utc_B":1580180663,"score_A":9,"score_B":4,"human_ref_A":"Sorry for your loss.   I used to take lyrica regularly for pain. It's a long way from fun as a recreational drug. This makes me wonder if he was just taking anything he could get his hands on?","human_ref_B":"I\u2019m sorry for your loss.   I\u2019ve had tons of surgeries due to cancer complications and on opioids I get insanely groggy, nauseous and my blood pressure drops low. I hate taking them due to how They make me feel.   In hospital though they had to remove pain pump and only do orally due to how shallow my breathing became and low bp. I don\u2019t have many memories of incident last year but my husband said he thought he was about to lose me by how doctors came charging in. I\u2019m not sure if that\u2019s a common issue on them though. Or if something can be caused similar by taking oral form.","labels":1,"seconds_difference":15970.0,"score_ratio":2.25}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffsxjy8","c_root_id_B":"ffspxh2","created_at_utc_A":1580196633,"created_at_utc_B":1580188390,"score_A":9,"score_B":4,"human_ref_A":"Sorry for your loss.   I used to take lyrica regularly for pain. It's a long way from fun as a recreational drug. This makes me wonder if he was just taking anything he could get his hands on?","human_ref_B":"The most likely cause is unintentional overdose or side effects of drug use. Combining drugs makes them very dangerous and may not just add side effects- can multiply them.   Other cardiac or genetic causes are much rarer causes of death. The toxicology will take ages to come back- hang in there.","labels":1,"seconds_difference":8243.0,"score_ratio":2.25}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffsxjy8","c_root_id_B":"ffsrzdl","created_at_utc_A":1580196633,"created_at_utc_B":1580190326,"score_A":9,"score_B":5,"human_ref_A":"Sorry for your loss.   I used to take lyrica regularly for pain. It's a long way from fun as a recreational drug. This makes me wonder if he was just taking anything he could get his hands on?","human_ref_B":"So sorry for your sudden loss but I would like to mention long QT as a possible answer to your questions.  it usually doesn\u2019t affect its carriers (most don\u2019t even know they have it). However based on your description it would make sense as the genetic disease causes random heart failure during sleep. might be worthwhile for you and your family to get tested as well. Again i\u2019m terribly sorry for your loss and my condolences for your family. Feel better OP","labels":1,"seconds_difference":6307.0,"score_ratio":1.8}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffssd7p","c_root_id_B":"ffsftqu","created_at_utc_A":1580190711,"created_at_utc_B":1580180663,"score_A":6,"score_B":4,"human_ref_A":"Sorry for your loss, I am interested in hearing the end result.","human_ref_B":"I\u2019m sorry for your loss.   I\u2019ve had tons of surgeries due to cancer complications and on opioids I get insanely groggy, nauseous and my blood pressure drops low. I hate taking them due to how They make me feel.   In hospital though they had to remove pain pump and only do orally due to how shallow my breathing became and low bp. I don\u2019t have many memories of incident last year but my husband said he thought he was about to lose me by how doctors came charging in. I\u2019m not sure if that\u2019s a common issue on them though. Or if something can be caused similar by taking oral form.","labels":1,"seconds_difference":10048.0,"score_ratio":1.5}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffspxh2","c_root_id_B":"ffssd7p","created_at_utc_A":1580188390,"created_at_utc_B":1580190711,"score_A":4,"score_B":6,"human_ref_A":"The most likely cause is unintentional overdose or side effects of drug use. Combining drugs makes them very dangerous and may not just add side effects- can multiply them.   Other cardiac or genetic causes are much rarer causes of death. The toxicology will take ages to come back- hang in there.","human_ref_B":"Sorry for your loss, I am interested in hearing the end result.","labels":0,"seconds_difference":2321.0,"score_ratio":1.5}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffssd7p","c_root_id_B":"ffsrzdl","created_at_utc_A":1580190711,"created_at_utc_B":1580190326,"score_A":6,"score_B":5,"human_ref_A":"Sorry for your loss, I am interested in hearing the end result.","human_ref_B":"So sorry for your sudden loss but I would like to mention long QT as a possible answer to your questions.  it usually doesn\u2019t affect its carriers (most don\u2019t even know they have it). However based on your description it would make sense as the genetic disease causes random heart failure during sleep. might be worthwhile for you and your family to get tested as well. Again i\u2019m terribly sorry for your loss and my condolences for your family. Feel better OP","labels":1,"seconds_difference":385.0,"score_ratio":1.2}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffsrzdl","c_root_id_B":"ffsftqu","created_at_utc_A":1580190326,"created_at_utc_B":1580180663,"score_A":5,"score_B":4,"human_ref_A":"So sorry for your sudden loss but I would like to mention long QT as a possible answer to your questions.  it usually doesn\u2019t affect its carriers (most don\u2019t even know they have it). However based on your description it would make sense as the genetic disease causes random heart failure during sleep. might be worthwhile for you and your family to get tested as well. Again i\u2019m terribly sorry for your loss and my condolences for your family. Feel better OP","human_ref_B":"I\u2019m sorry for your loss.   I\u2019ve had tons of surgeries due to cancer complications and on opioids I get insanely groggy, nauseous and my blood pressure drops low. I hate taking them due to how They make me feel.   In hospital though they had to remove pain pump and only do orally due to how shallow my breathing became and low bp. I don\u2019t have many memories of incident last year but my husband said he thought he was about to lose me by how doctors came charging in. I\u2019m not sure if that\u2019s a common issue on them though. Or if something can be caused similar by taking oral form.","labels":1,"seconds_difference":9663.0,"score_ratio":1.25}
-{"post_id":"eur94u","domain":"askdocs_test","upvote_ratio":0.98,"history":"What killed my(30M) nephew(19M)? Hey everyone!  As the title said, my nephew died unexpectedly 16 days ago, and we have no idea how. We are still waiting for the autopsy report, but our family is obviously grieving and the uncertainty is killing us. Therefore im turning to you, in order order for, even if it's very little, information. I will do my best in explaining the whole situation. Im also an CRNA and therefore have some medical knowledge.   My nephew was a typical teenager. Just finished high school, didn't have a job yet. Was up all night gaming and sleeping all day. Had alot of friends, was a very kind-hearted person. Had no known medical issues apart from being born pre-mature and having ADD. According to his little sister and some friends, after the incident, he occasionally took Lyrica as recreational drug use, but very certain that there was no other drugs.   The night he died he hung out with two friends. The friend suspected that he had taken Lyrica before arriving at their place, but that he got more normal as the night progressed. All they did was playing video games and watching movies. At 5 in the morning my nephew texted his little sister that he was coming home at around 11-12 and then they all went to bed (all three slept in the same bed).   At 11 the friend's father enters the room and finds my nephew on the floor stone-cold dead. Probably been dead for a few hours. Anyway they all freaked out and started CPR and called 911. When help arrived they worked on him for about 30 minutes before going to the hospital where he was pronounced dead.  About a week later I called the pathology lab asking if there was any information. I didn't talk to a doctor but the person read from some report that there were no structural causes for the sudden death. Heart was normal, no ruptures etc. The lungs were abit enlarged and that the brain weighed too much (cerebral edema?). They have taken samples and biopsies that's been sent away for analyzing.   We're at a loss here... I have two scenarios in my head. First, he just died. Sudden cardiac death without structural cause (cardiomyopathy etc), maybe caused by some recreational drug. Second, he OD'd on opiates and fell out of bed and stopped breathing. This however feels so out of character for him. It also seem strange to take something just before going to bed.   What do you all think? Is there anything im missing or not seeing clearly? Or maybe someone with more expertise?","c_root_id_A":"ffsrzdl","c_root_id_B":"ffspxh2","created_at_utc_A":1580190326,"created_at_utc_B":1580188390,"score_A":5,"score_B":4,"human_ref_A":"So sorry for your sudden loss but I would like to mention long QT as a possible answer to your questions.  it usually doesn\u2019t affect its carriers (most don\u2019t even know they have it). However based on your description it would make sense as the genetic disease causes random heart failure during sleep. might be worthwhile for you and your family to get tested as well. Again i\u2019m terribly sorry for your loss and my condolences for your family. Feel better OP","human_ref_B":"The most likely cause is unintentional overdose or side effects of drug use. Combining drugs makes them very dangerous and may not just add side effects- can multiply them.   Other cardiac or genetic causes are much rarer causes of death. The toxicology will take ages to come back- hang in there.","labels":1,"seconds_difference":1936.0,"score_ratio":1.25}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7wa8e8","c_root_id_B":"g7w3nnt","created_at_utc_A":1601993863,"created_at_utc_B":1601989966,"score_A":123,"score_B":23,"human_ref_A":"I had my first seizure after half a glass of wine. It turned out that my alcohol consumption was completely inconsequential (as I continued to have seizures regardless of whether I was drinking).  My trigger is the relaxation\/let down after prolonged periods of stress.   For many, alcohol can lower the threshold and cause or contribute to seizures.    I would recommend seeing a neurologist that specializes in epilepsy. I\u2019ve seen both regular neurologists and epilepsy-focused neurologists and much preferred my care under the epilepsy specialist.  It is worth noting that seizures don\u2019t always mean epilepsy, but it does mean it\u2019s time for a neuro consult.  We welcome both you and your girlfriend at r\/epilepsy. \u2014 it is a great community for those experiencing seizures, even if it turns out it\u2019s not epilepsy.  BIG IMPORTANT EDIT: your partner should not be driving until the cause of the seizures is determined. It\u2019s been too short of time to actually know if alcohol and hormones are her triggers.","human_ref_B":"INAD, but my partner has epilepsy, and all of what I've read here suggest epilepsy. you still need to get this accurately diagnosed by a doctor, as there are many other causes for seizures than epilepsy, and some of them require urgent diagnosis and care.  ​  Why I think it could be epilepsy:  Seizures can be triggered by alcohol intake  Seizures can be triggered by hormonal changes (period)  ​  Epilepsy is very individual, and everyone has different triggers, but these are common ones.  ​  If its epilepsy, it's not the end of the world, its a condition, that while having a definite effect on your life, generally can be managed except in the more extreme cases.   If this is not epilepsy it could be something more serious. Not sure where you are located, but ER is free here, so I would immediately go to ER, say she had another seizure so that you get immediate treatment and can push to get the tests done sooner.","labels":1,"seconds_difference":3897.0,"score_ratio":5.347826087}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7w620j","c_root_id_B":"g7wa8e8","created_at_utc_A":1601991484,"created_at_utc_B":1601993863,"score_A":3,"score_B":123,"human_ref_A":"I am in no way a doctor but I've been through something similar twice. I've had two episodes with very seizure like symptoms. Both times lasted around 30 seconds but I lost consciousness and was convulsing. I didn't know what was happening at the time and it was damn scary. (I'm 22 btw)   I called the doctor and they said seizures last a lot longer and it could be stress related. Online I've stumbled upon \"non epileptic seizures\". They're also apparently more common in people with ADHD which I'm awaiting an assessment for, but yeah I don't know for sure what's actually happening. I think I would need some sort of scan.   Both times this had happened I was a little bit stoned. Maybe like alcohol might be a trigger like cannabis may have been for me?   See a doctor, if possible!","human_ref_B":"I had my first seizure after half a glass of wine. It turned out that my alcohol consumption was completely inconsequential (as I continued to have seizures regardless of whether I was drinking).  My trigger is the relaxation\/let down after prolonged periods of stress.   For many, alcohol can lower the threshold and cause or contribute to seizures.    I would recommend seeing a neurologist that specializes in epilepsy. I\u2019ve seen both regular neurologists and epilepsy-focused neurologists and much preferred my care under the epilepsy specialist.  It is worth noting that seizures don\u2019t always mean epilepsy, but it does mean it\u2019s time for a neuro consult.  We welcome both you and your girlfriend at r\/epilepsy. \u2014 it is a great community for those experiencing seizures, even if it turns out it\u2019s not epilepsy.  BIG IMPORTANT EDIT: your partner should not be driving until the cause of the seizures is determined. It\u2019s been too short of time to actually know if alcohol and hormones are her triggers.","labels":0,"seconds_difference":2379.0,"score_ratio":41.0}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7wmev3","c_root_id_B":"g7w3nnt","created_at_utc_A":1602000139,"created_at_utc_B":1601989966,"score_A":33,"score_B":23,"human_ref_A":"Absolutely not an epilepsy specialist not even a neurologist but both sounds like different types of seizures\/seizure-like activity. One seizure is forgivable but two could be epilepsy. Typically people are monitored with continuous EEG to find seizure-like activity, sometimes up to 24 hours. They will often attempt to provoke the seizures, too. It isn\u2019t uncommon to develop epilepsy in adulthood but it deserves a thorough battery of blood tests and imaging prior to committing to the diagnosis.   Generally if the patient recovers quickly without medication it doesn\u2019t warrant inpatient admission. Alcohol could be a trigger or it could be coincidental. I\u2019d recommend and abundance of caution when drinking. If the seizure lasts more than a few minutes call EMS.   Did you have other questions or were you more looking for general info or reassurance?","human_ref_B":"INAD, but my partner has epilepsy, and all of what I've read here suggest epilepsy. you still need to get this accurately diagnosed by a doctor, as there are many other causes for seizures than epilepsy, and some of them require urgent diagnosis and care.  ​  Why I think it could be epilepsy:  Seizures can be triggered by alcohol intake  Seizures can be triggered by hormonal changes (period)  ​  Epilepsy is very individual, and everyone has different triggers, but these are common ones.  ​  If its epilepsy, it's not the end of the world, its a condition, that while having a definite effect on your life, generally can be managed except in the more extreme cases.   If this is not epilepsy it could be something more serious. Not sure where you are located, but ER is free here, so I would immediately go to ER, say she had another seizure so that you get immediate treatment and can push to get the tests done sooner.","labels":1,"seconds_difference":10173.0,"score_ratio":1.4347826087}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7wecgj","c_root_id_B":"g7wmev3","created_at_utc_A":1601996072,"created_at_utc_B":1602000139,"score_A":26,"score_B":33,"human_ref_A":"Nad but I have epilepsy. I only ever had myoclonic episodes without losing consciousness or absent seizures and drinking caused me to have grand mal seizures. She should not drive until seen (they will likely tell her that). Stay away from alcohol. If the first one was during her period, did she have one about a week or two after her period? I would jot that down when she was on her period and that she had a seizure. It could be hormonal related. It\u2019s scary, my fianc\u00e9 literally has to make sure I\u2019m not stressed (a big trigger for me) because I had a bad seizure where a table fell on me and not to mention I had 9 seizures after drinking. It\u2019ll always be scary. Just have to stay calm. If she has one again, just sit by her and rub her hair until she stops and make sure she rests after one. It\u2019s energy consuming. Track what she\u2019s doing before a seizure and write it down and bring that with you to your doctor\u2019s appointment.","human_ref_B":"Absolutely not an epilepsy specialist not even a neurologist but both sounds like different types of seizures\/seizure-like activity. One seizure is forgivable but two could be epilepsy. Typically people are monitored with continuous EEG to find seizure-like activity, sometimes up to 24 hours. They will often attempt to provoke the seizures, too. It isn\u2019t uncommon to develop epilepsy in adulthood but it deserves a thorough battery of blood tests and imaging prior to committing to the diagnosis.   Generally if the patient recovers quickly without medication it doesn\u2019t warrant inpatient admission. Alcohol could be a trigger or it could be coincidental. I\u2019d recommend and abundance of caution when drinking. If the seizure lasts more than a few minutes call EMS.   Did you have other questions or were you more looking for general info or reassurance?","labels":0,"seconds_difference":4067.0,"score_ratio":1.2692307692}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7wkkj8","c_root_id_B":"g7wmev3","created_at_utc_A":1601999221,"created_at_utc_B":1602000139,"score_A":15,"score_B":33,"human_ref_A":"So the best advice would probably be to go to the ER the next time this happens. I also don't think it is a huge issue to wait for an appointment at this time as long as she doesn't have another event. Your partner should be started on seizure medications and should get imaging of her brain.  I would also add that it is unusual that these episodes come on with alcohol, physiologically alcohol works in a similar way to the medications we use to treat seizures. I think a lot of people in this thread are confusing it with alcohol withdrawal which would lower the seizure threshold.","human_ref_B":"Absolutely not an epilepsy specialist not even a neurologist but both sounds like different types of seizures\/seizure-like activity. One seizure is forgivable but two could be epilepsy. Typically people are monitored with continuous EEG to find seizure-like activity, sometimes up to 24 hours. They will often attempt to provoke the seizures, too. It isn\u2019t uncommon to develop epilepsy in adulthood but it deserves a thorough battery of blood tests and imaging prior to committing to the diagnosis.   Generally if the patient recovers quickly without medication it doesn\u2019t warrant inpatient admission. Alcohol could be a trigger or it could be coincidental. I\u2019d recommend and abundance of caution when drinking. If the seizure lasts more than a few minutes call EMS.   Did you have other questions or were you more looking for general info or reassurance?","labels":0,"seconds_difference":918.0,"score_ratio":2.2}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7wmev3","c_root_id_B":"g7w620j","created_at_utc_A":1602000139,"created_at_utc_B":1601991484,"score_A":33,"score_B":3,"human_ref_A":"Absolutely not an epilepsy specialist not even a neurologist but both sounds like different types of seizures\/seizure-like activity. One seizure is forgivable but two could be epilepsy. Typically people are monitored with continuous EEG to find seizure-like activity, sometimes up to 24 hours. They will often attempt to provoke the seizures, too. It isn\u2019t uncommon to develop epilepsy in adulthood but it deserves a thorough battery of blood tests and imaging prior to committing to the diagnosis.   Generally if the patient recovers quickly without medication it doesn\u2019t warrant inpatient admission. Alcohol could be a trigger or it could be coincidental. I\u2019d recommend and abundance of caution when drinking. If the seizure lasts more than a few minutes call EMS.   Did you have other questions or were you more looking for general info or reassurance?","human_ref_B":"I am in no way a doctor but I've been through something similar twice. I've had two episodes with very seizure like symptoms. Both times lasted around 30 seconds but I lost consciousness and was convulsing. I didn't know what was happening at the time and it was damn scary. (I'm 22 btw)   I called the doctor and they said seizures last a lot longer and it could be stress related. Online I've stumbled upon \"non epileptic seizures\". They're also apparently more common in people with ADHD which I'm awaiting an assessment for, but yeah I don't know for sure what's actually happening. I think I would need some sort of scan.   Both times this had happened I was a little bit stoned. Maybe like alcohol might be a trigger like cannabis may have been for me?   See a doctor, if possible!","labels":1,"seconds_difference":8655.0,"score_ratio":11.0}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7w3nnt","c_root_id_B":"g7wecgj","created_at_utc_A":1601989966,"created_at_utc_B":1601996072,"score_A":23,"score_B":26,"human_ref_A":"INAD, but my partner has epilepsy, and all of what I've read here suggest epilepsy. you still need to get this accurately diagnosed by a doctor, as there are many other causes for seizures than epilepsy, and some of them require urgent diagnosis and care.  ​  Why I think it could be epilepsy:  Seizures can be triggered by alcohol intake  Seizures can be triggered by hormonal changes (period)  ​  Epilepsy is very individual, and everyone has different triggers, but these are common ones.  ​  If its epilepsy, it's not the end of the world, its a condition, that while having a definite effect on your life, generally can be managed except in the more extreme cases.   If this is not epilepsy it could be something more serious. Not sure where you are located, but ER is free here, so I would immediately go to ER, say she had another seizure so that you get immediate treatment and can push to get the tests done sooner.","human_ref_B":"Nad but I have epilepsy. I only ever had myoclonic episodes without losing consciousness or absent seizures and drinking caused me to have grand mal seizures. She should not drive until seen (they will likely tell her that). Stay away from alcohol. If the first one was during her period, did she have one about a week or two after her period? I would jot that down when she was on her period and that she had a seizure. It could be hormonal related. It\u2019s scary, my fianc\u00e9 literally has to make sure I\u2019m not stressed (a big trigger for me) because I had a bad seizure where a table fell on me and not to mention I had 9 seizures after drinking. It\u2019ll always be scary. Just have to stay calm. If she has one again, just sit by her and rub her hair until she stops and make sure she rests after one. It\u2019s energy consuming. Track what she\u2019s doing before a seizure and write it down and bring that with you to your doctor\u2019s appointment.","labels":0,"seconds_difference":6106.0,"score_ratio":1.1304347826}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7w620j","c_root_id_B":"g7wecgj","created_at_utc_A":1601991484,"created_at_utc_B":1601996072,"score_A":3,"score_B":26,"human_ref_A":"I am in no way a doctor but I've been through something similar twice. I've had two episodes with very seizure like symptoms. Both times lasted around 30 seconds but I lost consciousness and was convulsing. I didn't know what was happening at the time and it was damn scary. (I'm 22 btw)   I called the doctor and they said seizures last a lot longer and it could be stress related. Online I've stumbled upon \"non epileptic seizures\". They're also apparently more common in people with ADHD which I'm awaiting an assessment for, but yeah I don't know for sure what's actually happening. I think I would need some sort of scan.   Both times this had happened I was a little bit stoned. Maybe like alcohol might be a trigger like cannabis may have been for me?   See a doctor, if possible!","human_ref_B":"Nad but I have epilepsy. I only ever had myoclonic episodes without losing consciousness or absent seizures and drinking caused me to have grand mal seizures. She should not drive until seen (they will likely tell her that). Stay away from alcohol. If the first one was during her period, did she have one about a week or two after her period? I would jot that down when she was on her period and that she had a seizure. It could be hormonal related. It\u2019s scary, my fianc\u00e9 literally has to make sure I\u2019m not stressed (a big trigger for me) because I had a bad seizure where a table fell on me and not to mention I had 9 seizures after drinking. It\u2019ll always be scary. Just have to stay calm. If she has one again, just sit by her and rub her hair until she stops and make sure she rests after one. It\u2019s energy consuming. Track what she\u2019s doing before a seizure and write it down and bring that with you to your doctor\u2019s appointment.","labels":0,"seconds_difference":4588.0,"score_ratio":8.6666666667}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7wkkj8","c_root_id_B":"g7w620j","created_at_utc_A":1601999221,"created_at_utc_B":1601991484,"score_A":15,"score_B":3,"human_ref_A":"So the best advice would probably be to go to the ER the next time this happens. I also don't think it is a huge issue to wait for an appointment at this time as long as she doesn't have another event. Your partner should be started on seizure medications and should get imaging of her brain.  I would also add that it is unusual that these episodes come on with alcohol, physiologically alcohol works in a similar way to the medications we use to treat seizures. I think a lot of people in this thread are confusing it with alcohol withdrawal which would lower the seizure threshold.","human_ref_B":"I am in no way a doctor but I've been through something similar twice. I've had two episodes with very seizure like symptoms. Both times lasted around 30 seconds but I lost consciousness and was convulsing. I didn't know what was happening at the time and it was damn scary. (I'm 22 btw)   I called the doctor and they said seizures last a lot longer and it could be stress related. Online I've stumbled upon \"non epileptic seizures\". They're also apparently more common in people with ADHD which I'm awaiting an assessment for, but yeah I don't know for sure what's actually happening. I think I would need some sort of scan.   Both times this had happened I was a little bit stoned. Maybe like alcohol might be a trigger like cannabis may have been for me?   See a doctor, if possible!","labels":1,"seconds_difference":7737.0,"score_ratio":5.0}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7wujyz","c_root_id_B":"g7y2u1s","created_at_utc_A":1602004167,"created_at_utc_B":1602024354,"score_A":3,"score_B":11,"human_ref_A":"Is she on Wellbutrin?  https:\/\/www.healthline.com\/health\/wellbutrin-and-alcohol  Edited to add link","human_ref_B":"Hi OP. I am a neurology resident. This sounds very much suspicious for seizures, both events. Can she self-refer to a neurology clinic and get an appointment to see someone soon? An epileptologist (seizure specialist) is ideal but a general neurologist is also reasonable at this time.   She should stop driving immediately. If she truly only drinks 1 drink once a week, then she should stop drinking as well. She also needs to take care to avoid situations that would put her in danger should she pass out, specifically: no bathing or swimming, no overhead lifting, no use of power tools without auto off feature, no use of heavy machinery  If you are able to accompany her to the appointment, you would be a great help in describing these events to the doctor and best help obtain the correct diagnosis.","labels":0,"seconds_difference":20187.0,"score_ratio":3.6666666667}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7y2u1s","c_root_id_B":"g7x7yhm","created_at_utc_A":1602024354,"created_at_utc_B":1602009843,"score_A":11,"score_B":4,"human_ref_A":"Hi OP. I am a neurology resident. This sounds very much suspicious for seizures, both events. Can she self-refer to a neurology clinic and get an appointment to see someone soon? An epileptologist (seizure specialist) is ideal but a general neurologist is also reasonable at this time.   She should stop driving immediately. If she truly only drinks 1 drink once a week, then she should stop drinking as well. She also needs to take care to avoid situations that would put her in danger should she pass out, specifically: no bathing or swimming, no overhead lifting, no use of power tools without auto off feature, no use of heavy machinery  If you are able to accompany her to the appointment, you would be a great help in describing these events to the doctor and best help obtain the correct diagnosis.","human_ref_B":"Technically speaking alcohol is a central nervous system depressant so it shouldn't cause a seizure.  We see alcoholics in withdrawal have some nasty seizures but personally I've never witnessed the opposite, now in curious.","labels":1,"seconds_difference":14511.0,"score_ratio":2.75}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7w620j","c_root_id_B":"g7y2u1s","created_at_utc_A":1601991484,"created_at_utc_B":1602024354,"score_A":3,"score_B":11,"human_ref_A":"I am in no way a doctor but I've been through something similar twice. I've had two episodes with very seizure like symptoms. Both times lasted around 30 seconds but I lost consciousness and was convulsing. I didn't know what was happening at the time and it was damn scary. (I'm 22 btw)   I called the doctor and they said seizures last a lot longer and it could be stress related. Online I've stumbled upon \"non epileptic seizures\". They're also apparently more common in people with ADHD which I'm awaiting an assessment for, but yeah I don't know for sure what's actually happening. I think I would need some sort of scan.   Both times this had happened I was a little bit stoned. Maybe like alcohol might be a trigger like cannabis may have been for me?   See a doctor, if possible!","human_ref_B":"Hi OP. I am a neurology resident. This sounds very much suspicious for seizures, both events. Can she self-refer to a neurology clinic and get an appointment to see someone soon? An epileptologist (seizure specialist) is ideal but a general neurologist is also reasonable at this time.   She should stop driving immediately. If she truly only drinks 1 drink once a week, then she should stop drinking as well. She also needs to take care to avoid situations that would put her in danger should she pass out, specifically: no bathing or swimming, no overhead lifting, no use of power tools without auto off feature, no use of heavy machinery  If you are able to accompany her to the appointment, you would be a great help in describing these events to the doctor and best help obtain the correct diagnosis.","labels":0,"seconds_difference":32870.0,"score_ratio":3.6666666667}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7wstmp","c_root_id_B":"g7y2u1s","created_at_utc_A":1602003343,"created_at_utc_B":1602024354,"score_A":3,"score_B":11,"human_ref_A":"Hello! I am by no means a doctor, but my sister had 2 seizures related to the usage of a prescription drug. I know that in your situation that is not the case, however I did learn a few things about seizures that you might find helpful.  The doctor told us that things like alcohol, some prescription medications, things like stress and lack of sleep, as well as the use of some over the counter medications like Tylenol (acetaminophen), can all lower the seizure threshold.  In my experience with my sister, we had to make sure she got some good sleep but was not oversleeping, as well as sit in the bathroom with her while she showered in order to attempt to prevent her from getting hurt if she did seize. I did this for about a week or two after her seizures. She was also not allowed to have certain medications as mentioned before, such as over the counter medications, and she also had to go cold turkey on her prescription medications (not including birth control). We got a whole list of medical ingredients that she wasn\u2019t allowed to ingest in order to prevent her from seizing.  All in all, she turned out just fine and like I said before, was brought on by the use of a prescription. After all of the tests, they were able to rule out epilepsy and it was entirely brought on by a cocktail of stress, lack of sleep, and the prescription.   Up until this day however, my mom is STILL annoyed with her when she drinks even one beer, and this incident happened nearly two years ago now. I wish you both luck and good health\u2764\ufe0f","human_ref_B":"Hi OP. I am a neurology resident. This sounds very much suspicious for seizures, both events. Can she self-refer to a neurology clinic and get an appointment to see someone soon? An epileptologist (seizure specialist) is ideal but a general neurologist is also reasonable at this time.   She should stop driving immediately. If she truly only drinks 1 drink once a week, then she should stop drinking as well. She also needs to take care to avoid situations that would put her in danger should she pass out, specifically: no bathing or swimming, no overhead lifting, no use of power tools without auto off feature, no use of heavy machinery  If you are able to accompany her to the appointment, you would be a great help in describing these events to the doctor and best help obtain the correct diagnosis.","labels":0,"seconds_difference":21011.0,"score_ratio":3.6666666667}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7y2u1s","c_root_id_B":"g7wuz19","created_at_utc_A":1602024354,"created_at_utc_B":1602004340,"score_A":11,"score_B":2,"human_ref_A":"Hi OP. I am a neurology resident. This sounds very much suspicious for seizures, both events. Can she self-refer to a neurology clinic and get an appointment to see someone soon? An epileptologist (seizure specialist) is ideal but a general neurologist is also reasonable at this time.   She should stop driving immediately. If she truly only drinks 1 drink once a week, then she should stop drinking as well. She also needs to take care to avoid situations that would put her in danger should she pass out, specifically: no bathing or swimming, no overhead lifting, no use of power tools without auto off feature, no use of heavy machinery  If you are able to accompany her to the appointment, you would be a great help in describing these events to the doctor and best help obtain the correct diagnosis.","human_ref_B":"Nad. I had epilepsy, grand mal seizures, they say I have grown out of it but I see a neurologist every 3 months. Now I have developed migranes with aura. The same aura I had with my seizures. She needs to keep a food journal. The alcohol may be the trigger, it is a know trigger. But some people are also effected by cheese and chocolate. Also specific smells like perfumes. They also say hormones. I know you mentioned she was on her period the first time so it also may be wise for her to keep a cycle calender. They feel mine were triggered by hormones, I had no family history also. I was 15 when I first started having mine. I was told to keep a food journal as well as track my period. That way things could be narrowed down. Also seizures can be deadly if not treated and they seem to be progressing. My husband has absent seizures and will like zone out for a few min but will not wet himself. This needs to be taken seriously. My first one happened next door to the hospital in a target and before it progressed I was in the er when it happened. I am not trying to scare you more than you are but this is serious. If I were to have one nobody would hesitate to call an ambulance. My husbands cousin died from one when he chose not to go to the hospital. Until she is able to go to a a neurologist avoid alcohol. And if she experiences anything definalty make note of what she ate and came in contact with that day.","labels":1,"seconds_difference":20014.0,"score_ratio":5.5}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7y2u1s","c_root_id_B":"g7xbvd0","created_at_utc_A":1602024354,"created_at_utc_B":1602011458,"score_A":11,"score_B":2,"human_ref_A":"Hi OP. I am a neurology resident. This sounds very much suspicious for seizures, both events. Can she self-refer to a neurology clinic and get an appointment to see someone soon? An epileptologist (seizure specialist) is ideal but a general neurologist is also reasonable at this time.   She should stop driving immediately. If she truly only drinks 1 drink once a week, then she should stop drinking as well. She also needs to take care to avoid situations that would put her in danger should she pass out, specifically: no bathing or swimming, no overhead lifting, no use of power tools without auto off feature, no use of heavy machinery  If you are able to accompany her to the appointment, you would be a great help in describing these events to the doctor and best help obtain the correct diagnosis.","human_ref_B":"There is a lot of great advice in here. I would just like to add that you did a great job in response to the seizures and care afterward. You are an excellent partner, keep up the good work. For future reference, do not try to hold her up. You can hurt both her and yourself doing this, instead do what we call a \"controlled fall\" which is exactly what it sounds like. Roll her on her side and support her head or place a pillow under it to keep her from causing any trauma to her head. Do not stick anything in her mouth. Do not try to restrain her.","labels":1,"seconds_difference":12896.0,"score_ratio":5.5}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7wujyz","c_root_id_B":"g7x7yhm","created_at_utc_A":1602004167,"created_at_utc_B":1602009843,"score_A":3,"score_B":4,"human_ref_A":"Is she on Wellbutrin?  https:\/\/www.healthline.com\/health\/wellbutrin-and-alcohol  Edited to add link","human_ref_B":"Technically speaking alcohol is a central nervous system depressant so it shouldn't cause a seizure.  We see alcoholics in withdrawal have some nasty seizures but personally I've never witnessed the opposite, now in curious.","labels":0,"seconds_difference":5676.0,"score_ratio":1.3333333333}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7x7yhm","c_root_id_B":"g7w620j","created_at_utc_A":1602009843,"created_at_utc_B":1601991484,"score_A":4,"score_B":3,"human_ref_A":"Technically speaking alcohol is a central nervous system depressant so it shouldn't cause a seizure.  We see alcoholics in withdrawal have some nasty seizures but personally I've never witnessed the opposite, now in curious.","human_ref_B":"I am in no way a doctor but I've been through something similar twice. I've had two episodes with very seizure like symptoms. Both times lasted around 30 seconds but I lost consciousness and was convulsing. I didn't know what was happening at the time and it was damn scary. (I'm 22 btw)   I called the doctor and they said seizures last a lot longer and it could be stress related. Online I've stumbled upon \"non epileptic seizures\". They're also apparently more common in people with ADHD which I'm awaiting an assessment for, but yeah I don't know for sure what's actually happening. I think I would need some sort of scan.   Both times this had happened I was a little bit stoned. Maybe like alcohol might be a trigger like cannabis may have been for me?   See a doctor, if possible!","labels":1,"seconds_difference":18359.0,"score_ratio":1.3333333333}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7x7yhm","c_root_id_B":"g7wstmp","created_at_utc_A":1602009843,"created_at_utc_B":1602003343,"score_A":4,"score_B":3,"human_ref_A":"Technically speaking alcohol is a central nervous system depressant so it shouldn't cause a seizure.  We see alcoholics in withdrawal have some nasty seizures but personally I've never witnessed the opposite, now in curious.","human_ref_B":"Hello! I am by no means a doctor, but my sister had 2 seizures related to the usage of a prescription drug. I know that in your situation that is not the case, however I did learn a few things about seizures that you might find helpful.  The doctor told us that things like alcohol, some prescription medications, things like stress and lack of sleep, as well as the use of some over the counter medications like Tylenol (acetaminophen), can all lower the seizure threshold.  In my experience with my sister, we had to make sure she got some good sleep but was not oversleeping, as well as sit in the bathroom with her while she showered in order to attempt to prevent her from getting hurt if she did seize. I did this for about a week or two after her seizures. She was also not allowed to have certain medications as mentioned before, such as over the counter medications, and she also had to go cold turkey on her prescription medications (not including birth control). We got a whole list of medical ingredients that she wasn\u2019t allowed to ingest in order to prevent her from seizing.  All in all, she turned out just fine and like I said before, was brought on by the use of a prescription. After all of the tests, they were able to rule out epilepsy and it was entirely brought on by a cocktail of stress, lack of sleep, and the prescription.   Up until this day however, my mom is STILL annoyed with her when she drinks even one beer, and this incident happened nearly two years ago now. I wish you both luck and good health\u2764\ufe0f","labels":1,"seconds_difference":6500.0,"score_ratio":1.3333333333}
-{"post_id":"j615kx","domain":"askdocs_test","upvote_ratio":0.99,"history":"Girlfriend had 2 seizures after 1 glass of alcohol Girlfriend is early 30\u2019s and female. She can usually drink 2-3 units without getting drunk. On average, she has 1 drink (beer or glass of wine) with dinner with me, once a week. That\u2019s it. She is definitely not addicted to alcohol or going through any withdrawal. No medication either. No family history of seizures or alcohol abuse, or any other medical condition.  She recently had 2 seizures, both times with me.  The first time, she drank 1 glass of wine on an empty stomach. Then after 10 minutes of finishing her drink, she suddenly froze and looked confused for about 2 minutes. She started to pee her pants and didn\u2019t know what happened after she \u201ccame back\u201d. We didn\u2019t think it was a seizure because she wasn\u2019t shaking or anything, but now I know that was a seizure because it happened again.  About 2 weeks after that incident, we were having a beer together with sushi. She had drunk about 1\/6 a bottle of beer (literally like 3 sips). Then, she started actually shaking and making weird noises while her eyes rolled back\u2014 what you\u2019d expect a seizure to look like. I tried to hold her up but she was shaking so violently that we both fell to the ground. It lasted about 45 seconds. She did not pee her pants, but she again didn\u2019t know what happened after.   We went to the doctor but because of COVID-19, we need to wait a couple weeks to run tests. I am wondering if I can get any help or ideas on reddit. Please help, I am very scared. She is not as scared as me because she doesn\u2019t even remember the experience. But I saw and witnessed everything both times and am traumatized. Please help what this could be, and what we should do. Thank you.   More background: -she was on her period the first time, but not the 2nd time -this was the first time seizures ever happened -we haven\u2019t had a single drop of alcohol after the 2nd incident -the only common factor in both seizure incidents was alcohol -she is 165cm (5\u20195) and 51kg(112lbs) not under or overweight  -no mental illness, no medication, no family history -she is not an alcoholic, nor does she smoke or do any drugs","c_root_id_A":"g7wuz19","c_root_id_B":"g7x7yhm","created_at_utc_A":1602004340,"created_at_utc_B":1602009843,"score_A":2,"score_B":4,"human_ref_A":"Nad. I had epilepsy, grand mal seizures, they say I have grown out of it but I see a neurologist every 3 months. Now I have developed migranes with aura. The same aura I had with my seizures. She needs to keep a food journal. The alcohol may be the trigger, it is a know trigger. But some people are also effected by cheese and chocolate. Also specific smells like perfumes. They also say hormones. I know you mentioned she was on her period the first time so it also may be wise for her to keep a cycle calender. They feel mine were triggered by hormones, I had no family history also. I was 15 when I first started having mine. I was told to keep a food journal as well as track my period. That way things could be narrowed down. Also seizures can be deadly if not treated and they seem to be progressing. My husband has absent seizures and will like zone out for a few min but will not wet himself. This needs to be taken seriously. My first one happened next door to the hospital in a target and before it progressed I was in the er when it happened. I am not trying to scare you more than you are but this is serious. If I were to have one nobody would hesitate to call an ambulance. My husbands cousin died from one when he chose not to go to the hospital. Until she is able to go to a a neurologist avoid alcohol. And if she experiences anything definalty make note of what she ate and came in contact with that day.","human_ref_B":"Technically speaking alcohol is a central nervous system depressant so it shouldn't cause a seizure.  We see alcoholics in withdrawal have some nasty seizures but personally I've never witnessed the opposite, now in curious.","labels":0,"seconds_difference":5503.0,"score_ratio":2.0}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2ji0e6","c_root_id_B":"g2jn1ib","created_at_utc_A":1598146811,"created_at_utc_B":1598149862,"score_A":362,"score_B":458,"human_ref_A":"Unfortunately doctors are human too and it wouldn\u2019t surprise me if he\u2019s being biased. That said, you should totally get another opinion. Best of luck with healing your leg and I hope you don\u2019t drink and drive ever again!!  Edit: sorry I should\u2019ve added Not a doctor, I\u2019m just a humble nursing student. Thanks for the upvotes y\u2019all!","human_ref_B":"Agree with other posters advising you to get a second opinion.  However, I'd expect and get used to very little compassion from future caregivers around this issue. Your experience will likely be less negative if you accept this beforehand and lower your expectations. Orthopedic surgeons are often trauma surgeons, and have to deal a decent amount with the victims of drunk driving. Compassion fatigue is a real thing and it's extremely difficult to get emotionally invested the same for someone who was the victim of a DUI as someone who did a DUI who is only not in jail because they got morally lucky.","labels":0,"seconds_difference":3051.0,"score_ratio":1.2651933702}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jn1ib","c_root_id_B":"g2jfwut","created_at_utc_A":1598149862,"created_at_utc_B":1598145558,"score_A":458,"score_B":207,"human_ref_A":"Agree with other posters advising you to get a second opinion.  However, I'd expect and get used to very little compassion from future caregivers around this issue. Your experience will likely be less negative if you accept this beforehand and lower your expectations. Orthopedic surgeons are often trauma surgeons, and have to deal a decent amount with the victims of drunk driving. Compassion fatigue is a real thing and it's extremely difficult to get emotionally invested the same for someone who was the victim of a DUI as someone who did a DUI who is only not in jail because they got morally lucky.","human_ref_B":"Please go and get a second opinion.","labels":1,"seconds_difference":4304.0,"score_ratio":2.2125603865}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jn1ib","c_root_id_B":"g2jlt71","created_at_utc_A":1598149862,"created_at_utc_B":1598149107,"score_A":458,"score_B":43,"human_ref_A":"Agree with other posters advising you to get a second opinion.  However, I'd expect and get used to very little compassion from future caregivers around this issue. Your experience will likely be less negative if you accept this beforehand and lower your expectations. Orthopedic surgeons are often trauma surgeons, and have to deal a decent amount with the victims of drunk driving. Compassion fatigue is a real thing and it's extremely difficult to get emotionally invested the same for someone who was the victim of a DUI as someone who did a DUI who is only not in jail because they got morally lucky.","human_ref_B":"Do you\u2019ve got a lot of hardware in there, and it looks worse than it is, though I\u2019d disagree with the people on here freaking out about the X-ray. That said, it sounds like you and your surgeon don\u2019t have a good rapport and that will definitely interfere with your ability to get better. I\u2019d encourage you to write down questions and really dig into them with them, and if they don\u2019t engage then ask them to document that you brought those questions up and they did not answer them (it sounds passive aggressive, but sometimes that\u2019s the only way to get their attention). I\u2019d say you really need PT after something that traumatic, and they will be much better and helping and following you long term than an over scheduled surgeon ever will be.","labels":1,"seconds_difference":755.0,"score_ratio":10.6511627907}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jlszx","c_root_id_B":"g2jn1ib","created_at_utc_A":1598149104,"created_at_utc_B":1598149862,"score_A":37,"score_B":458,"human_ref_A":"Not a doctor but my husband broke his femur in a skiing accident several years ago. The accident happened in January and we were to be married in July. He was terrified he wouldn\u2019t be able to walk down the aisle. His recovery involved extensive PT. He also has screws, pins, and a metal rod in his femur now. He went from a wheelchair, to a walker, to two crutches, to one crutch, then a cane, and finally was able to walk on his own (but with a limp) by May. Just sharing this for some perspective from someone who has experienced something similar (well, my husband). Definitely seek a second opinion and until you do, stick with the crutches.","human_ref_B":"Agree with other posters advising you to get a second opinion.  However, I'd expect and get used to very little compassion from future caregivers around this issue. Your experience will likely be less negative if you accept this beforehand and lower your expectations. Orthopedic surgeons are often trauma surgeons, and have to deal a decent amount with the victims of drunk driving. Compassion fatigue is a real thing and it's extremely difficult to get emotionally invested the same for someone who was the victim of a DUI as someone who did a DUI who is only not in jail because they got morally lucky.","labels":0,"seconds_difference":758.0,"score_ratio":12.3783783784}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jk3xw","c_root_id_B":"g2jn1ib","created_at_utc_A":1598148073,"created_at_utc_B":1598149862,"score_A":24,"score_B":458,"human_ref_A":"1st- Not a doctor 2nd- that is not healed, please don't put any weight on it.  3rd- get a second opinion, asap 4th- it doesn't matter how it happened, you are an injured human that deserves proper medical treatment  5th- I'm glad no one else was injured and that this has (hopefully) been your wake up call","human_ref_B":"Agree with other posters advising you to get a second opinion.  However, I'd expect and get used to very little compassion from future caregivers around this issue. Your experience will likely be less negative if you accept this beforehand and lower your expectations. Orthopedic surgeons are often trauma surgeons, and have to deal a decent amount with the victims of drunk driving. Compassion fatigue is a real thing and it's extremely difficult to get emotionally invested the same for someone who was the victim of a DUI as someone who did a DUI who is only not in jail because they got morally lucky.","labels":0,"seconds_difference":1789.0,"score_ratio":19.0833333333}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jmyla","c_root_id_B":"g2jn1ib","created_at_utc_A":1598149812,"created_at_utc_B":1598149862,"score_A":12,"score_B":458,"human_ref_A":"Hold up. Was that x-ray after he said it was healed?! I not only recommend a second opinion but get the medical documentation and see what he had to say about your leg on paper because he might be putting treatment plans he never made to cover his ass. There is no way you can tell someone they're ok with this xray and not get sued into a Walmart nightstock position. As frowned upon as it is on this sub you should really involve an attorney.","human_ref_B":"Agree with other posters advising you to get a second opinion.  However, I'd expect and get used to very little compassion from future caregivers around this issue. Your experience will likely be less negative if you accept this beforehand and lower your expectations. Orthopedic surgeons are often trauma surgeons, and have to deal a decent amount with the victims of drunk driving. Compassion fatigue is a real thing and it's extremely difficult to get emotionally invested the same for someone who was the victim of a DUI as someone who did a DUI who is only not in jail because they got morally lucky.","labels":0,"seconds_difference":50.0,"score_ratio":38.1666666667}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jn1ib","c_root_id_B":"g2jjntz","created_at_utc_A":1598149862,"created_at_utc_B":1598147806,"score_A":458,"score_B":8,"human_ref_A":"Agree with other posters advising you to get a second opinion.  However, I'd expect and get used to very little compassion from future caregivers around this issue. Your experience will likely be less negative if you accept this beforehand and lower your expectations. Orthopedic surgeons are often trauma surgeons, and have to deal a decent amount with the victims of drunk driving. Compassion fatigue is a real thing and it's extremely difficult to get emotionally invested the same for someone who was the victim of a DUI as someone who did a DUI who is only not in jail because they got morally lucky.","human_ref_B":"You need to get a second opinion as soon as possible.  Don't bear weight on that leg.","labels":1,"seconds_difference":2056.0,"score_ratio":57.25}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jjhl0","c_root_id_B":"g2jn1ib","created_at_utc_A":1598147703,"created_at_utc_B":1598149862,"score_A":7,"score_B":458,"human_ref_A":"Go for a second opinion. That does not look like it is healing well if that was one week ago.","human_ref_B":"Agree with other posters advising you to get a second opinion.  However, I'd expect and get used to very little compassion from future caregivers around this issue. Your experience will likely be less negative if you accept this beforehand and lower your expectations. Orthopedic surgeons are often trauma surgeons, and have to deal a decent amount with the victims of drunk driving. Compassion fatigue is a real thing and it's extremely difficult to get emotionally invested the same for someone who was the victim of a DUI as someone who did a DUI who is only not in jail because they got morally lucky.","labels":0,"seconds_difference":2159.0,"score_ratio":65.4285714286}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jfwut","c_root_id_B":"g2ji0e6","created_at_utc_A":1598145558,"created_at_utc_B":1598146811,"score_A":207,"score_B":362,"human_ref_A":"Please go and get a second opinion.","human_ref_B":"Unfortunately doctors are human too and it wouldn\u2019t surprise me if he\u2019s being biased. That said, you should totally get another opinion. Best of luck with healing your leg and I hope you don\u2019t drink and drive ever again!!  Edit: sorry I should\u2019ve added Not a doctor, I\u2019m just a humble nursing student. Thanks for the upvotes y\u2019all!","labels":0,"seconds_difference":1253.0,"score_ratio":1.7487922705}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jlszx","c_root_id_B":"g2jlt71","created_at_utc_A":1598149104,"created_at_utc_B":1598149107,"score_A":37,"score_B":43,"human_ref_A":"Not a doctor but my husband broke his femur in a skiing accident several years ago. The accident happened in January and we were to be married in July. He was terrified he wouldn\u2019t be able to walk down the aisle. His recovery involved extensive PT. He also has screws, pins, and a metal rod in his femur now. He went from a wheelchair, to a walker, to two crutches, to one crutch, then a cane, and finally was able to walk on his own (but with a limp) by May. Just sharing this for some perspective from someone who has experienced something similar (well, my husband). Definitely seek a second opinion and until you do, stick with the crutches.","human_ref_B":"Do you\u2019ve got a lot of hardware in there, and it looks worse than it is, though I\u2019d disagree with the people on here freaking out about the X-ray. That said, it sounds like you and your surgeon don\u2019t have a good rapport and that will definitely interfere with your ability to get better. I\u2019d encourage you to write down questions and really dig into them with them, and if they don\u2019t engage then ask them to document that you brought those questions up and they did not answer them (it sounds passive aggressive, but sometimes that\u2019s the only way to get their attention). I\u2019d say you really need PT after something that traumatic, and they will be much better and helping and following you long term than an over scheduled surgeon ever will be.","labels":0,"seconds_difference":3.0,"score_ratio":1.1621621622}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jlt71","c_root_id_B":"g2jk3xw","created_at_utc_A":1598149107,"created_at_utc_B":1598148073,"score_A":43,"score_B":24,"human_ref_A":"Do you\u2019ve got a lot of hardware in there, and it looks worse than it is, though I\u2019d disagree with the people on here freaking out about the X-ray. That said, it sounds like you and your surgeon don\u2019t have a good rapport and that will definitely interfere with your ability to get better. I\u2019d encourage you to write down questions and really dig into them with them, and if they don\u2019t engage then ask them to document that you brought those questions up and they did not answer them (it sounds passive aggressive, but sometimes that\u2019s the only way to get their attention). I\u2019d say you really need PT after something that traumatic, and they will be much better and helping and following you long term than an over scheduled surgeon ever will be.","human_ref_B":"1st- Not a doctor 2nd- that is not healed, please don't put any weight on it.  3rd- get a second opinion, asap 4th- it doesn't matter how it happened, you are an injured human that deserves proper medical treatment  5th- I'm glad no one else was injured and that this has (hopefully) been your wake up call","labels":1,"seconds_difference":1034.0,"score_ratio":1.7916666667}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jlt71","c_root_id_B":"g2jjntz","created_at_utc_A":1598149107,"created_at_utc_B":1598147806,"score_A":43,"score_B":8,"human_ref_A":"Do you\u2019ve got a lot of hardware in there, and it looks worse than it is, though I\u2019d disagree with the people on here freaking out about the X-ray. That said, it sounds like you and your surgeon don\u2019t have a good rapport and that will definitely interfere with your ability to get better. I\u2019d encourage you to write down questions and really dig into them with them, and if they don\u2019t engage then ask them to document that you brought those questions up and they did not answer them (it sounds passive aggressive, but sometimes that\u2019s the only way to get their attention). I\u2019d say you really need PT after something that traumatic, and they will be much better and helping and following you long term than an over scheduled surgeon ever will be.","human_ref_B":"You need to get a second opinion as soon as possible.  Don't bear weight on that leg.","labels":1,"seconds_difference":1301.0,"score_ratio":5.375}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jjhl0","c_root_id_B":"g2jlt71","created_at_utc_A":1598147703,"created_at_utc_B":1598149107,"score_A":7,"score_B":43,"human_ref_A":"Go for a second opinion. That does not look like it is healing well if that was one week ago.","human_ref_B":"Do you\u2019ve got a lot of hardware in there, and it looks worse than it is, though I\u2019d disagree with the people on here freaking out about the X-ray. That said, it sounds like you and your surgeon don\u2019t have a good rapport and that will definitely interfere with your ability to get better. I\u2019d encourage you to write down questions and really dig into them with them, and if they don\u2019t engage then ask them to document that you brought those questions up and they did not answer them (it sounds passive aggressive, but sometimes that\u2019s the only way to get their attention). I\u2019d say you really need PT after something that traumatic, and they will be much better and helping and following you long term than an over scheduled surgeon ever will be.","labels":0,"seconds_difference":1404.0,"score_ratio":6.1428571429}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jk3xw","c_root_id_B":"g2jlszx","created_at_utc_A":1598148073,"created_at_utc_B":1598149104,"score_A":24,"score_B":37,"human_ref_A":"1st- Not a doctor 2nd- that is not healed, please don't put any weight on it.  3rd- get a second opinion, asap 4th- it doesn't matter how it happened, you are an injured human that deserves proper medical treatment  5th- I'm glad no one else was injured and that this has (hopefully) been your wake up call","human_ref_B":"Not a doctor but my husband broke his femur in a skiing accident several years ago. The accident happened in January and we were to be married in July. He was terrified he wouldn\u2019t be able to walk down the aisle. His recovery involved extensive PT. He also has screws, pins, and a metal rod in his femur now. He went from a wheelchair, to a walker, to two crutches, to one crutch, then a cane, and finally was able to walk on his own (but with a limp) by May. Just sharing this for some perspective from someone who has experienced something similar (well, my husband). Definitely seek a second opinion and until you do, stick with the crutches.","labels":0,"seconds_difference":1031.0,"score_ratio":1.5416666667}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jlszx","c_root_id_B":"g2jjntz","created_at_utc_A":1598149104,"created_at_utc_B":1598147806,"score_A":37,"score_B":8,"human_ref_A":"Not a doctor but my husband broke his femur in a skiing accident several years ago. The accident happened in January and we were to be married in July. He was terrified he wouldn\u2019t be able to walk down the aisle. His recovery involved extensive PT. He also has screws, pins, and a metal rod in his femur now. He went from a wheelchair, to a walker, to two crutches, to one crutch, then a cane, and finally was able to walk on his own (but with a limp) by May. Just sharing this for some perspective from someone who has experienced something similar (well, my husband). Definitely seek a second opinion and until you do, stick with the crutches.","human_ref_B":"You need to get a second opinion as soon as possible.  Don't bear weight on that leg.","labels":1,"seconds_difference":1298.0,"score_ratio":4.625}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jlszx","c_root_id_B":"g2jjhl0","created_at_utc_A":1598149104,"created_at_utc_B":1598147703,"score_A":37,"score_B":7,"human_ref_A":"Not a doctor but my husband broke his femur in a skiing accident several years ago. The accident happened in January and we were to be married in July. He was terrified he wouldn\u2019t be able to walk down the aisle. His recovery involved extensive PT. He also has screws, pins, and a metal rod in his femur now. He went from a wheelchair, to a walker, to two crutches, to one crutch, then a cane, and finally was able to walk on his own (but with a limp) by May. Just sharing this for some perspective from someone who has experienced something similar (well, my husband). Definitely seek a second opinion and until you do, stick with the crutches.","human_ref_B":"Go for a second opinion. That does not look like it is healing well if that was one week ago.","labels":1,"seconds_difference":1401.0,"score_ratio":5.2857142857}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2kixf3","c_root_id_B":"g2jk3xw","created_at_utc_A":1598177472,"created_at_utc_B":1598148073,"score_A":28,"score_B":24,"human_ref_A":"Callus  Looks like it is healing. The arrows I've inserted point to callus formation which is a sign of healing. Sounds, and looks, like you've got at least a talented surgeon.  The initial goal after an injury like this is bone healing, which appears to be happening. A possible ligamentous injury to your knee  can wait a while to be treated for a variety of reasons.  I'd recommend continued weight bearing as long as your pain is ok, but use a walker or crutches for balance if the knee is an issue. PT will be helpful now to work on strength but is only essential depending on your case. Wouldn't hurt but not necessarily essential.  These take a looong time to heal on xray and as long as you have consistent follow up, things look safe here.","human_ref_B":"1st- Not a doctor 2nd- that is not healed, please don't put any weight on it.  3rd- get a second opinion, asap 4th- it doesn't matter how it happened, you are an injured human that deserves proper medical treatment  5th- I'm glad no one else was injured and that this has (hopefully) been your wake up call","labels":1,"seconds_difference":29399.0,"score_ratio":1.1666666667}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jjntz","c_root_id_B":"g2jk3xw","created_at_utc_A":1598147806,"created_at_utc_B":1598148073,"score_A":8,"score_B":24,"human_ref_A":"You need to get a second opinion as soon as possible.  Don't bear weight on that leg.","human_ref_B":"1st- Not a doctor 2nd- that is not healed, please don't put any weight on it.  3rd- get a second opinion, asap 4th- it doesn't matter how it happened, you are an injured human that deserves proper medical treatment  5th- I'm glad no one else was injured and that this has (hopefully) been your wake up call","labels":0,"seconds_difference":267.0,"score_ratio":3.0}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jk3xw","c_root_id_B":"g2jjhl0","created_at_utc_A":1598148073,"created_at_utc_B":1598147703,"score_A":24,"score_B":7,"human_ref_A":"1st- Not a doctor 2nd- that is not healed, please don't put any weight on it.  3rd- get a second opinion, asap 4th- it doesn't matter how it happened, you are an injured human that deserves proper medical treatment  5th- I'm glad no one else was injured and that this has (hopefully) been your wake up call","human_ref_B":"Go for a second opinion. That does not look like it is healing well if that was one week ago.","labels":1,"seconds_difference":370.0,"score_ratio":3.4285714286}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2kixf3","c_root_id_B":"g2jt0gm","created_at_utc_A":1598177472,"created_at_utc_B":1598153636,"score_A":28,"score_B":19,"human_ref_A":"Callus  Looks like it is healing. The arrows I've inserted point to callus formation which is a sign of healing. Sounds, and looks, like you've got at least a talented surgeon.  The initial goal after an injury like this is bone healing, which appears to be happening. A possible ligamentous injury to your knee  can wait a while to be treated for a variety of reasons.  I'd recommend continued weight bearing as long as your pain is ok, but use a walker or crutches for balance if the knee is an issue. PT will be helpful now to work on strength but is only essential depending on your case. Wouldn't hurt but not necessarily essential.  These take a looong time to heal on xray and as long as you have consistent follow up, things look safe here.","human_ref_B":"(1) Get a second opinion.  (2) File a complaint against your doctor with your State's medical board. It is not up to you to determine if they did right or wrong, that is up to the State's medical board. In Nevada a motorcyclist was discharged from the hospital following an accident because the doctor thought \"motorcyclists are tough, he will be fine,\" and the motorcyclist died later that day from internal bleeding. Doctor was sanctioned.      I say this because that is not a good standard of care, for anyone, and by making a complaint you stop him from treating others the same because of his personal bias.","labels":1,"seconds_difference":23836.0,"score_ratio":1.4736842105}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2k6uzf","c_root_id_B":"g2kixf3","created_at_utc_A":1598164758,"created_at_utc_B":1598177472,"score_A":12,"score_B":28,"human_ref_A":"Wow. Half these people have no idea what the hell they\u2019re talking about.  1. The X-ray doesn\u2019t look horrible considering the circumstance.   2. Remind your doc that you\u2019re just a patient, regardless of how you got an injury, you\u2019re injured and need to be treated. That\u2019s asking a lot cause healthcare folks are not immune to their biases, but he should be called out on sub-par care.  Put your foot down with your doc.  3. Request PT, it sounds like part of the care plan that was lost in translation.","human_ref_B":"Callus  Looks like it is healing. The arrows I've inserted point to callus formation which is a sign of healing. Sounds, and looks, like you've got at least a talented surgeon.  The initial goal after an injury like this is bone healing, which appears to be happening. A possible ligamentous injury to your knee  can wait a while to be treated for a variety of reasons.  I'd recommend continued weight bearing as long as your pain is ok, but use a walker or crutches for balance if the knee is an issue. PT will be helpful now to work on strength but is only essential depending on your case. Wouldn't hurt but not necessarily essential.  These take a looong time to heal on xray and as long as you have consistent follow up, things look safe here.","labels":0,"seconds_difference":12714.0,"score_ratio":2.3333333333}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2kixf3","c_root_id_B":"g2jmyla","created_at_utc_A":1598177472,"created_at_utc_B":1598149812,"score_A":28,"score_B":12,"human_ref_A":"Callus  Looks like it is healing. The arrows I've inserted point to callus formation which is a sign of healing. Sounds, and looks, like you've got at least a talented surgeon.  The initial goal after an injury like this is bone healing, which appears to be happening. A possible ligamentous injury to your knee  can wait a while to be treated for a variety of reasons.  I'd recommend continued weight bearing as long as your pain is ok, but use a walker or crutches for balance if the knee is an issue. PT will be helpful now to work on strength but is only essential depending on your case. Wouldn't hurt but not necessarily essential.  These take a looong time to heal on xray and as long as you have consistent follow up, things look safe here.","human_ref_B":"Hold up. Was that x-ray after he said it was healed?! I not only recommend a second opinion but get the medical documentation and see what he had to say about your leg on paper because he might be putting treatment plans he never made to cover his ass. There is no way you can tell someone they're ok with this xray and not get sued into a Walmart nightstock position. As frowned upon as it is on this sub you should really involve an attorney.","labels":1,"seconds_difference":27660.0,"score_ratio":2.3333333333}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2kixf3","c_root_id_B":"g2kgb9a","created_at_utc_A":1598177472,"created_at_utc_B":1598174560,"score_A":28,"score_B":10,"human_ref_A":"Callus  Looks like it is healing. The arrows I've inserted point to callus formation which is a sign of healing. Sounds, and looks, like you've got at least a talented surgeon.  The initial goal after an injury like this is bone healing, which appears to be happening. A possible ligamentous injury to your knee  can wait a while to be treated for a variety of reasons.  I'd recommend continued weight bearing as long as your pain is ok, but use a walker or crutches for balance if the knee is an issue. PT will be helpful now to work on strength but is only essential depending on your case. Wouldn't hurt but not necessarily essential.  These take a looong time to heal on xray and as long as you have consistent follow up, things look safe here.","human_ref_B":"In the future maybe just say car accident and leave it at that.","labels":1,"seconds_difference":2912.0,"score_ratio":2.8}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2kixf3","c_root_id_B":"g2jjntz","created_at_utc_A":1598177472,"created_at_utc_B":1598147806,"score_A":28,"score_B":8,"human_ref_A":"Callus  Looks like it is healing. The arrows I've inserted point to callus formation which is a sign of healing. Sounds, and looks, like you've got at least a talented surgeon.  The initial goal after an injury like this is bone healing, which appears to be happening. A possible ligamentous injury to your knee  can wait a while to be treated for a variety of reasons.  I'd recommend continued weight bearing as long as your pain is ok, but use a walker or crutches for balance if the knee is an issue. PT will be helpful now to work on strength but is only essential depending on your case. Wouldn't hurt but not necessarily essential.  These take a looong time to heal on xray and as long as you have consistent follow up, things look safe here.","human_ref_B":"You need to get a second opinion as soon as possible.  Don't bear weight on that leg.","labels":1,"seconds_difference":29666.0,"score_ratio":3.5}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2kixf3","c_root_id_B":"g2jjhl0","created_at_utc_A":1598177472,"created_at_utc_B":1598147703,"score_A":28,"score_B":7,"human_ref_A":"Callus  Looks like it is healing. The arrows I've inserted point to callus formation which is a sign of healing. Sounds, and looks, like you've got at least a talented surgeon.  The initial goal after an injury like this is bone healing, which appears to be happening. A possible ligamentous injury to your knee  can wait a while to be treated for a variety of reasons.  I'd recommend continued weight bearing as long as your pain is ok, but use a walker or crutches for balance if the knee is an issue. PT will be helpful now to work on strength but is only essential depending on your case. Wouldn't hurt but not necessarily essential.  These take a looong time to heal on xray and as long as you have consistent follow up, things look safe here.","human_ref_B":"Go for a second opinion. That does not look like it is healing well if that was one week ago.","labels":1,"seconds_difference":29769.0,"score_ratio":4.0}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2kixf3","c_root_id_B":"g2ju9qn","created_at_utc_A":1598177472,"created_at_utc_B":1598154505,"score_A":28,"score_B":4,"human_ref_A":"Callus  Looks like it is healing. The arrows I've inserted point to callus formation which is a sign of healing. Sounds, and looks, like you've got at least a talented surgeon.  The initial goal after an injury like this is bone healing, which appears to be happening. A possible ligamentous injury to your knee  can wait a while to be treated for a variety of reasons.  I'd recommend continued weight bearing as long as your pain is ok, but use a walker or crutches for balance if the knee is an issue. PT will be helpful now to work on strength but is only essential depending on your case. Wouldn't hurt but not necessarily essential.  These take a looong time to heal on xray and as long as you have consistent follow up, things look safe here.","human_ref_B":"Hey I\u2019ve been through a broken femur. It was Oct 2018 so not so long ago!  Please HMU if you want to discuss how my recovery went. I dealt with some bias from the hospital staff because of being a chronic pain patient before the accident, for being from out of state, and really I felt because of my race.","labels":1,"seconds_difference":22967.0,"score_ratio":7.0}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2kixf3","c_root_id_B":"g2jrnao","created_at_utc_A":1598177472,"created_at_utc_B":1598152736,"score_A":28,"score_B":4,"human_ref_A":"Callus  Looks like it is healing. The arrows I've inserted point to callus formation which is a sign of healing. Sounds, and looks, like you've got at least a talented surgeon.  The initial goal after an injury like this is bone healing, which appears to be happening. A possible ligamentous injury to your knee  can wait a while to be treated for a variety of reasons.  I'd recommend continued weight bearing as long as your pain is ok, but use a walker or crutches for balance if the knee is an issue. PT will be helpful now to work on strength but is only essential depending on your case. Wouldn't hurt but not necessarily essential.  These take a looong time to heal on xray and as long as you have consistent follow up, things look safe here.","human_ref_B":"My bro\u2019s onco was literally gone after he had done surgery and collected that nice $$$ from us. No follow up check ups. He left us hanging. My bro had to rest for about six months before he can walk normally.   That being said, go for a second opinion.","labels":1,"seconds_difference":24736.0,"score_ratio":7.0}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jt0gm","c_root_id_B":"g2jmyla","created_at_utc_A":1598153636,"created_at_utc_B":1598149812,"score_A":19,"score_B":12,"human_ref_A":"(1) Get a second opinion.  (2) File a complaint against your doctor with your State's medical board. It is not up to you to determine if they did right or wrong, that is up to the State's medical board. In Nevada a motorcyclist was discharged from the hospital following an accident because the doctor thought \"motorcyclists are tough, he will be fine,\" and the motorcyclist died later that day from internal bleeding. Doctor was sanctioned.      I say this because that is not a good standard of care, for anyone, and by making a complaint you stop him from treating others the same because of his personal bias.","human_ref_B":"Hold up. Was that x-ray after he said it was healed?! I not only recommend a second opinion but get the medical documentation and see what he had to say about your leg on paper because he might be putting treatment plans he never made to cover his ass. There is no way you can tell someone they're ok with this xray and not get sued into a Walmart nightstock position. As frowned upon as it is on this sub you should really involve an attorney.","labels":1,"seconds_difference":3824.0,"score_ratio":1.5833333333}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jt0gm","c_root_id_B":"g2jjntz","created_at_utc_A":1598153636,"created_at_utc_B":1598147806,"score_A":19,"score_B":8,"human_ref_A":"(1) Get a second opinion.  (2) File a complaint against your doctor with your State's medical board. It is not up to you to determine if they did right or wrong, that is up to the State's medical board. In Nevada a motorcyclist was discharged from the hospital following an accident because the doctor thought \"motorcyclists are tough, he will be fine,\" and the motorcyclist died later that day from internal bleeding. Doctor was sanctioned.      I say this because that is not a good standard of care, for anyone, and by making a complaint you stop him from treating others the same because of his personal bias.","human_ref_B":"You need to get a second opinion as soon as possible.  Don't bear weight on that leg.","labels":1,"seconds_difference":5830.0,"score_ratio":2.375}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jjhl0","c_root_id_B":"g2jt0gm","created_at_utc_A":1598147703,"created_at_utc_B":1598153636,"score_A":7,"score_B":19,"human_ref_A":"Go for a second opinion. That does not look like it is healing well if that was one week ago.","human_ref_B":"(1) Get a second opinion.  (2) File a complaint against your doctor with your State's medical board. It is not up to you to determine if they did right or wrong, that is up to the State's medical board. In Nevada a motorcyclist was discharged from the hospital following an accident because the doctor thought \"motorcyclists are tough, he will be fine,\" and the motorcyclist died later that day from internal bleeding. Doctor was sanctioned.      I say this because that is not a good standard of care, for anyone, and by making a complaint you stop him from treating others the same because of his personal bias.","labels":0,"seconds_difference":5933.0,"score_ratio":2.7142857143}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jt0gm","c_root_id_B":"g2jrnao","created_at_utc_A":1598153636,"created_at_utc_B":1598152736,"score_A":19,"score_B":4,"human_ref_A":"(1) Get a second opinion.  (2) File a complaint against your doctor with your State's medical board. It is not up to you to determine if they did right or wrong, that is up to the State's medical board. In Nevada a motorcyclist was discharged from the hospital following an accident because the doctor thought \"motorcyclists are tough, he will be fine,\" and the motorcyclist died later that day from internal bleeding. Doctor was sanctioned.      I say this because that is not a good standard of care, for anyone, and by making a complaint you stop him from treating others the same because of his personal bias.","human_ref_B":"My bro\u2019s onco was literally gone after he had done surgery and collected that nice $$$ from us. No follow up check ups. He left us hanging. My bro had to rest for about six months before he can walk normally.   That being said, go for a second opinion.","labels":1,"seconds_difference":900.0,"score_ratio":4.75}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2k6uzf","c_root_id_B":"g2jjntz","created_at_utc_A":1598164758,"created_at_utc_B":1598147806,"score_A":12,"score_B":8,"human_ref_A":"Wow. Half these people have no idea what the hell they\u2019re talking about.  1. The X-ray doesn\u2019t look horrible considering the circumstance.   2. Remind your doc that you\u2019re just a patient, regardless of how you got an injury, you\u2019re injured and need to be treated. That\u2019s asking a lot cause healthcare folks are not immune to their biases, but he should be called out on sub-par care.  Put your foot down with your doc.  3. Request PT, it sounds like part of the care plan that was lost in translation.","human_ref_B":"You need to get a second opinion as soon as possible.  Don't bear weight on that leg.","labels":1,"seconds_difference":16952.0,"score_ratio":1.5}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2k6uzf","c_root_id_B":"g2jjhl0","created_at_utc_A":1598164758,"created_at_utc_B":1598147703,"score_A":12,"score_B":7,"human_ref_A":"Wow. Half these people have no idea what the hell they\u2019re talking about.  1. The X-ray doesn\u2019t look horrible considering the circumstance.   2. Remind your doc that you\u2019re just a patient, regardless of how you got an injury, you\u2019re injured and need to be treated. That\u2019s asking a lot cause healthcare folks are not immune to their biases, but he should be called out on sub-par care.  Put your foot down with your doc.  3. Request PT, it sounds like part of the care plan that was lost in translation.","human_ref_B":"Go for a second opinion. That does not look like it is healing well if that was one week ago.","labels":1,"seconds_difference":17055.0,"score_ratio":1.7142857143}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2ju9qn","c_root_id_B":"g2k6uzf","created_at_utc_A":1598154505,"created_at_utc_B":1598164758,"score_A":4,"score_B":12,"human_ref_A":"Hey I\u2019ve been through a broken femur. It was Oct 2018 so not so long ago!  Please HMU if you want to discuss how my recovery went. I dealt with some bias from the hospital staff because of being a chronic pain patient before the accident, for being from out of state, and really I felt because of my race.","human_ref_B":"Wow. Half these people have no idea what the hell they\u2019re talking about.  1. The X-ray doesn\u2019t look horrible considering the circumstance.   2. Remind your doc that you\u2019re just a patient, regardless of how you got an injury, you\u2019re injured and need to be treated. That\u2019s asking a lot cause healthcare folks are not immune to their biases, but he should be called out on sub-par care.  Put your foot down with your doc.  3. Request PT, it sounds like part of the care plan that was lost in translation.","labels":0,"seconds_difference":10253.0,"score_ratio":3.0}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jrnao","c_root_id_B":"g2k6uzf","created_at_utc_A":1598152736,"created_at_utc_B":1598164758,"score_A":4,"score_B":12,"human_ref_A":"My bro\u2019s onco was literally gone after he had done surgery and collected that nice $$$ from us. No follow up check ups. He left us hanging. My bro had to rest for about six months before he can walk normally.   That being said, go for a second opinion.","human_ref_B":"Wow. Half these people have no idea what the hell they\u2019re talking about.  1. The X-ray doesn\u2019t look horrible considering the circumstance.   2. Remind your doc that you\u2019re just a patient, regardless of how you got an injury, you\u2019re injured and need to be treated. That\u2019s asking a lot cause healthcare folks are not immune to their biases, but he should be called out on sub-par care.  Put your foot down with your doc.  3. Request PT, it sounds like part of the care plan that was lost in translation.","labels":0,"seconds_difference":12022.0,"score_ratio":3.0}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jjntz","c_root_id_B":"g2jmyla","created_at_utc_A":1598147806,"created_at_utc_B":1598149812,"score_A":8,"score_B":12,"human_ref_A":"You need to get a second opinion as soon as possible.  Don't bear weight on that leg.","human_ref_B":"Hold up. Was that x-ray after he said it was healed?! I not only recommend a second opinion but get the medical documentation and see what he had to say about your leg on paper because he might be putting treatment plans he never made to cover his ass. There is no way you can tell someone they're ok with this xray and not get sued into a Walmart nightstock position. As frowned upon as it is on this sub you should really involve an attorney.","labels":0,"seconds_difference":2006.0,"score_ratio":1.5}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jmyla","c_root_id_B":"g2jjhl0","created_at_utc_A":1598149812,"created_at_utc_B":1598147703,"score_A":12,"score_B":7,"human_ref_A":"Hold up. Was that x-ray after he said it was healed?! I not only recommend a second opinion but get the medical documentation and see what he had to say about your leg on paper because he might be putting treatment plans he never made to cover his ass. There is no way you can tell someone they're ok with this xray and not get sued into a Walmart nightstock position. As frowned upon as it is on this sub you should really involve an attorney.","human_ref_B":"Go for a second opinion. That does not look like it is healing well if that was one week ago.","labels":1,"seconds_difference":2109.0,"score_ratio":1.7142857143}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2kgb9a","c_root_id_B":"g2jjntz","created_at_utc_A":1598174560,"created_at_utc_B":1598147806,"score_A":10,"score_B":8,"human_ref_A":"In the future maybe just say car accident and leave it at that.","human_ref_B":"You need to get a second opinion as soon as possible.  Don't bear weight on that leg.","labels":1,"seconds_difference":26754.0,"score_ratio":1.25}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2kgb9a","c_root_id_B":"g2jjhl0","created_at_utc_A":1598174560,"created_at_utc_B":1598147703,"score_A":10,"score_B":7,"human_ref_A":"In the future maybe just say car accident and leave it at that.","human_ref_B":"Go for a second opinion. That does not look like it is healing well if that was one week ago.","labels":1,"seconds_difference":26857.0,"score_ratio":1.4285714286}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2kgb9a","c_root_id_B":"g2ju9qn","created_at_utc_A":1598174560,"created_at_utc_B":1598154505,"score_A":10,"score_B":4,"human_ref_A":"In the future maybe just say car accident and leave it at that.","human_ref_B":"Hey I\u2019ve been through a broken femur. It was Oct 2018 so not so long ago!  Please HMU if you want to discuss how my recovery went. I dealt with some bias from the hospital staff because of being a chronic pain patient before the accident, for being from out of state, and really I felt because of my race.","labels":1,"seconds_difference":20055.0,"score_ratio":2.5}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jrnao","c_root_id_B":"g2kgb9a","created_at_utc_A":1598152736,"created_at_utc_B":1598174560,"score_A":4,"score_B":10,"human_ref_A":"My bro\u2019s onco was literally gone after he had done surgery and collected that nice $$$ from us. No follow up check ups. He left us hanging. My bro had to rest for about six months before he can walk normally.   That being said, go for a second opinion.","human_ref_B":"In the future maybe just say car accident and leave it at that.","labels":0,"seconds_difference":21824.0,"score_ratio":2.5}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jjhl0","c_root_id_B":"g2kv0z8","created_at_utc_A":1598147703,"created_at_utc_B":1598186958,"score_A":7,"score_B":8,"human_ref_A":"Go for a second opinion. That does not look like it is healing well if that was one week ago.","human_ref_B":"OP, Not a doctor, but just wanted to inform you, if you haven't had a chance to read through all these, the only people freaking out are NOT DOCTORS. The actual physicians are being much more logical. If you want to avoid feeling like extra shit or being patted on the back, if you want to ignore the moral bickering, look at actual physician comments only. I'm not a physician, so I'd also encourage you to not listen to what I say.","labels":0,"seconds_difference":39255.0,"score_ratio":1.1428571429}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2kv0z8","c_root_id_B":"g2ju9qn","created_at_utc_A":1598186958,"created_at_utc_B":1598154505,"score_A":8,"score_B":4,"human_ref_A":"OP, Not a doctor, but just wanted to inform you, if you haven't had a chance to read through all these, the only people freaking out are NOT DOCTORS. The actual physicians are being much more logical. If you want to avoid feeling like extra shit or being patted on the back, if you want to ignore the moral bickering, look at actual physician comments only. I'm not a physician, so I'd also encourage you to not listen to what I say.","human_ref_B":"Hey I\u2019ve been through a broken femur. It was Oct 2018 so not so long ago!  Please HMU if you want to discuss how my recovery went. I dealt with some bias from the hospital staff because of being a chronic pain patient before the accident, for being from out of state, and really I felt because of my race.","labels":1,"seconds_difference":32453.0,"score_ratio":2.0}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jrnao","c_root_id_B":"g2kv0z8","created_at_utc_A":1598152736,"created_at_utc_B":1598186958,"score_A":4,"score_B":8,"human_ref_A":"My bro\u2019s onco was literally gone after he had done surgery and collected that nice $$$ from us. No follow up check ups. He left us hanging. My bro had to rest for about six months before he can walk normally.   That being said, go for a second opinion.","human_ref_B":"OP, Not a doctor, but just wanted to inform you, if you haven't had a chance to read through all these, the only people freaking out are NOT DOCTORS. The actual physicians are being much more logical. If you want to avoid feeling like extra shit or being patted on the back, if you want to ignore the moral bickering, look at actual physician comments only. I'm not a physician, so I'd also encourage you to not listen to what I say.","labels":0,"seconds_difference":34222.0,"score_ratio":2.0}
-{"post_id":"ietndq","domain":"askdocs_test","upvote_ratio":0.95,"history":"Shattered femur 2 months ago in DUI crash. Doctor feels neglectful because of the circumstances. Here's the x-ray that was taken last week. The accident and surgery were on the 15th of June.  https:\/\/imgur.com\/a\/dcZowlj  Two months ago I crashed my car after passing out behind the wheel and not wearing a seat belt. I was going around 45 mph and slammed into a concrete electrical pole. This was a DUI crash and a huge wake-up call for me and the direction my life was going. It's really a case of I shouldn't be alive and I'm grateful to even be here making this post.  It feels like because of my circumstances my doctor doesn't have as much compassion for me as his other patients (I've heard him talking to other patients in the room next to mine at my appointments and his demeanor seems to be much more caring for them.) The appointments have not been more than 5-10 minutes with the doc. My first appointment was 3 weeks after the surgery and his advice to me was \"use crutches and don't fuck it up\".  His words not mine. His assistant had been talking to me earlier and said \"you probably won't need physical therapy\" and no mention about PT from the doc, just \"don't fuck it up. Fast forward a month later to last week, the first thing the doctor and assistant ask is \"how's therapy been\". I didn't even know I was supposed to be going? I told them I hadn't gone but I showed him that I was able to walk and bear weight without crutches but my leg would collapse if I wasn't stiffening out my knee. He then checked my knee and ordered an MRI and said \"yea with these types of injuries its common to injure the knee as well\". I got my MRI done 2 days ago and will be back to see the doc next week with my MRI results. If this is so common, why didn't they check for this earlier?  As far as the femur goes, he told me that it's just about looking healed. How is that possible? I still feel pain when I move my leg in certain ways, mostly in the inside of my thigh where the bone has split. It feels like the end of it is poking the inside of my leg. To me it doesn't look like it has healed much at all to me so that's why I'm here trying to get some second opinions.  I wanted to ask all this with the doctor but he seemed to get visibly annoyed and already on his way out to the next patient.  ​  Thank you in advance. I'm genuinely worried about my leg being messed up for the rest of my life and not being able to go back to the outdoor activities and sports I loved to do before this.","c_root_id_A":"g2jjntz","c_root_id_B":"g2jjhl0","created_at_utc_A":1598147806,"created_at_utc_B":1598147703,"score_A":8,"score_B":7,"human_ref_A":"You need to get a second opinion as soon as possible.  Don't bear weight on that leg.","human_ref_B":"Go for a second opinion. That does not look like it is healing well if that was one week ago.","labels":1,"seconds_difference":103.0,"score_ratio":1.1428571429}
-{"post_id":"nxj6o6","domain":"askdocs_test","upvote_ratio":0.98,"history":"Can anyone explain why once I see a GI doc, no other GI docs will see me? 36M   My current GI isn't ideal for me. He made fun of me for being anxious. He dilated my esophagus so far (used maximum dilator) I couldn't eat for almost a month, they denied what they did had anything to do with it. I don't care for his ego. I hate that he won't explain anything to me and everything I ask is either \"nope won't show anything\" or \"you need a colonoscopy\".  I've tried to go to other GI's but nobody will see me. Been to three different GP's and they all say the same thing, once one GI see's you others won't.  WTF? Is there some kind of GI cult in the South Eastern US? I have no idea what to do.... I just want to know why this is even a thing.","c_root_id_A":"h1g6arl","c_root_id_B":"h1fu3dv","created_at_utc_A":1623445997,"created_at_utc_B":1623440516,"score_A":54,"score_B":31,"human_ref_A":",","human_ref_B":"Our neurosurgery practice doesn't like to see patients as 'second opinions' or who have seen another neurosurgeon because the typical reason they're seeing another neurosurgeon is that they didn't get an answer they wanted to hear. When our answer is then the same they get upset all over again. Another reason might be they have chronic pain after another surgeon operated, and no one likes taking care of someone else's mess if they can avoid it.   Not saying any of that applies to OP, but those are some reasons why practices don't like doc shoppers. Also bad for continuity of care and sometimes to abuse pain prescriptions.  *Edit: prefer not to do second opinions doesn't mean it doesn't happen. It's not a hard stop. Also consulting another specialty is not a second opinion, that happens all the time","labels":1,"seconds_difference":5481.0,"score_ratio":1.7419354839}
-{"post_id":"tl38b7","domain":"askdocs_test","upvote_ratio":0.95,"history":"Is my dr annoyed at me? Extremely embarrassed Hello  F30, antidepressants and Lexapro, no alcohol or smoking. Duration - 2 years, 5'5 145lbs, caucasian  I recently was at the ER with a migraine, and after being discharged once it was under control (used 4 different medications and a steroid) the Dr said to follow up with my neurologist, sooner than my already scheduled July appt.  The neuro office called and got me in the following week with my neurologist. I was just reading my notes and it reads,   \" Overall she requires a lot of support, with frequent messaging and urgent visits. She requires a lot of involvement from her multidisciplinary team, including mental health and primary care. At this point there remains no neurologic explanation for her symptoms.\"  They are leaning towards it being a Functional Neuro Disorder, but had said to message them with any symptoms lasting longer than 24 hours, so when my unsteadiness  led to multiple falls, I reached out this spring.   I am absolutely devastated and ashamed that they seem to think that I'm a needy patient, or exaggerating. I am just trying to function and do what they asked... Is that the right interpretation?   How can I keep my doctor's respect?","c_root_id_A":"i1uesw2","c_root_id_B":"i1u684w","created_at_utc_A":1648068202,"created_at_utc_B":1648064929,"score_A":406,"score_B":197,"human_ref_A":"I am not reading it as needy. More a message to your already established mdt and primary care physician that this is something that can be handled calmly, and outside of the ER, if they follow you tightly. Some patients require tighter follow up than other.   This is the beautifull and challenging thing with medicine; every case is uniqe. You are not a bother or a nuicance.   Especially when things are, in the end, found to be functional a lot of the treatment lays in the patients trust in their closest providers. Making you feel safe.","human_ref_B":"I can understand how you can take the wording of the notes to sound like you\u2019re a needy patient. But I want you to know that it\u2019s just the way to convey information to anyone else whose care you may be in and what is considered your normal.   For example, if you were to start with a new doctor who didn\u2019t get these notes and started to call for a problem often, they might take it as more emergent than it actually is and tell you to go to the ER instead of the office, wasting your money and time for something that is potentially already known (not to mention any mental anguish it may cause you to think that this is more serious than your usual cases).   This, of course, is just an example and probably slightly exaggerated since I don\u2019t know your case, but not uncommon. I wouldn\u2019t worry too much about what the wording is. I can tell you, I\u2019ve seen more than enough patients to not care enough to judge someone who may think they\u2019re \u201cneedy\u201d. The only patients I judge are the rude ones and I\u2019ve had a wide variety of patients. I\u2019m sure that\u2019s true for most of us. Don\u2019t take it to heart.","labels":1,"seconds_difference":3273.0,"score_ratio":2.0609137056}
-{"post_id":"tl38b7","domain":"askdocs_test","upvote_ratio":0.95,"history":"Is my dr annoyed at me? Extremely embarrassed Hello  F30, antidepressants and Lexapro, no alcohol or smoking. Duration - 2 years, 5'5 145lbs, caucasian  I recently was at the ER with a migraine, and after being discharged once it was under control (used 4 different medications and a steroid) the Dr said to follow up with my neurologist, sooner than my already scheduled July appt.  The neuro office called and got me in the following week with my neurologist. I was just reading my notes and it reads,   \" Overall she requires a lot of support, with frequent messaging and urgent visits. She requires a lot of involvement from her multidisciplinary team, including mental health and primary care. At this point there remains no neurologic explanation for her symptoms.\"  They are leaning towards it being a Functional Neuro Disorder, but had said to message them with any symptoms lasting longer than 24 hours, so when my unsteadiness  led to multiple falls, I reached out this spring.   I am absolutely devastated and ashamed that they seem to think that I'm a needy patient, or exaggerating. I am just trying to function and do what they asked... Is that the right interpretation?   How can I keep my doctor's respect?","c_root_id_A":"i1uiq39","c_root_id_B":"i1u684w","created_at_utc_A":1648069695,"created_at_utc_B":1648064929,"score_A":391,"score_B":197,"human_ref_A":"The fact that he uses the term \"requires\" says a lot. If he felt it was you being needy you would see things like \"unwarranted\", \"repetitive\", \"incessant\", \"unfounded\", etc. He is letting your new doctor know that you are a patient who will require this type of follow through, and to expect calls\/messages frequently without them being alarmed.","human_ref_B":"I can understand how you can take the wording of the notes to sound like you\u2019re a needy patient. But I want you to know that it\u2019s just the way to convey information to anyone else whose care you may be in and what is considered your normal.   For example, if you were to start with a new doctor who didn\u2019t get these notes and started to call for a problem often, they might take it as more emergent than it actually is and tell you to go to the ER instead of the office, wasting your money and time for something that is potentially already known (not to mention any mental anguish it may cause you to think that this is more serious than your usual cases).   This, of course, is just an example and probably slightly exaggerated since I don\u2019t know your case, but not uncommon. I wouldn\u2019t worry too much about what the wording is. I can tell you, I\u2019ve seen more than enough patients to not care enough to judge someone who may think they\u2019re \u201cneedy\u201d. The only patients I judge are the rude ones and I\u2019ve had a wide variety of patients. I\u2019m sure that\u2019s true for most of us. Don\u2019t take it to heart.","labels":1,"seconds_difference":4766.0,"score_ratio":1.9847715736}
-{"post_id":"tl38b7","domain":"askdocs_test","upvote_ratio":0.95,"history":"Is my dr annoyed at me? Extremely embarrassed Hello  F30, antidepressants and Lexapro, no alcohol or smoking. Duration - 2 years, 5'5 145lbs, caucasian  I recently was at the ER with a migraine, and after being discharged once it was under control (used 4 different medications and a steroid) the Dr said to follow up with my neurologist, sooner than my already scheduled July appt.  The neuro office called and got me in the following week with my neurologist. I was just reading my notes and it reads,   \" Overall she requires a lot of support, with frequent messaging and urgent visits. She requires a lot of involvement from her multidisciplinary team, including mental health and primary care. At this point there remains no neurologic explanation for her symptoms.\"  They are leaning towards it being a Functional Neuro Disorder, but had said to message them with any symptoms lasting longer than 24 hours, so when my unsteadiness  led to multiple falls, I reached out this spring.   I am absolutely devastated and ashamed that they seem to think that I'm a needy patient, or exaggerating. I am just trying to function and do what they asked... Is that the right interpretation?   How can I keep my doctor's respect?","c_root_id_A":"i1uik37","c_root_id_B":"i1uiq39","created_at_utc_A":1648069631,"created_at_utc_B":1648069695,"score_A":79,"score_B":391,"human_ref_A":"I\u2019m with the doctors who have commented. I wouldn\u2019t read that on a patient unknown to me and think \u201cok, so they\u2019re a head case\u201d I would see it as you were a patient who has a team of providers and all are regularly involved.   The wording in chart notes can seem cold and by circumstance, judgmental. But the goal in a note is to convey the point as concisely as possible. You also need to remember that reading text is just text. There\u2019s no inflection or tone, especially in a chart note (or there shouldn\u2019t be anyway) I think everyone has to chart so much that we don\u2019t give it any thought. It\u2019s just get the info in there and onto the next. Diagnosis codes are another one that patients often find upsetting and while they can be ridiculously specific, they can also be vague and cold and I\u2019ve had patients several times over the years be upset about a diagnosis, but really, as far as insurance billing the code is appropriate.   Please don\u2019t feel embarrassed or like your doctor is annoyed with you. I doubt that\u2019s the case. Chart notes are just information. I hope you don\u2019t let this get to you. Always seek care when you need it, no one will judge you for that.","human_ref_B":"The fact that he uses the term \"requires\" says a lot. If he felt it was you being needy you would see things like \"unwarranted\", \"repetitive\", \"incessant\", \"unfounded\", etc. He is letting your new doctor know that you are a patient who will require this type of follow through, and to expect calls\/messages frequently without them being alarmed.","labels":0,"seconds_difference":64.0,"score_ratio":4.9493670886}
-{"post_id":"tl38b7","domain":"askdocs_test","upvote_ratio":0.95,"history":"Is my dr annoyed at me? Extremely embarrassed Hello  F30, antidepressants and Lexapro, no alcohol or smoking. Duration - 2 years, 5'5 145lbs, caucasian  I recently was at the ER with a migraine, and after being discharged once it was under control (used 4 different medications and a steroid) the Dr said to follow up with my neurologist, sooner than my already scheduled July appt.  The neuro office called and got me in the following week with my neurologist. I was just reading my notes and it reads,   \" Overall she requires a lot of support, with frequent messaging and urgent visits. She requires a lot of involvement from her multidisciplinary team, including mental health and primary care. At this point there remains no neurologic explanation for her symptoms.\"  They are leaning towards it being a Functional Neuro Disorder, but had said to message them with any symptoms lasting longer than 24 hours, so when my unsteadiness  led to multiple falls, I reached out this spring.   I am absolutely devastated and ashamed that they seem to think that I'm a needy patient, or exaggerating. I am just trying to function and do what they asked... Is that the right interpretation?   How can I keep my doctor's respect?","c_root_id_A":"i1uleyd","c_root_id_B":"i1uik37","created_at_utc_A":1648070753,"created_at_utc_B":1648069631,"score_A":172,"score_B":79,"human_ref_A":"If I was your primary care physician I would be content with reading a note like this. It sounds like the neurologist did a thorough examination and I wouldn\u2019t doubt his\/hers competence. I would be glad that neurological causes were excluded and I would probably agree with the doctor and start your further treatment.   This is a good note. Has all the information another doctor needs. Your doctor does not disrespect you or think your needy.","human_ref_B":"I\u2019m with the doctors who have commented. I wouldn\u2019t read that on a patient unknown to me and think \u201cok, so they\u2019re a head case\u201d I would see it as you were a patient who has a team of providers and all are regularly involved.   The wording in chart notes can seem cold and by circumstance, judgmental. But the goal in a note is to convey the point as concisely as possible. You also need to remember that reading text is just text. There\u2019s no inflection or tone, especially in a chart note (or there shouldn\u2019t be anyway) I think everyone has to chart so much that we don\u2019t give it any thought. It\u2019s just get the info in there and onto the next. Diagnosis codes are another one that patients often find upsetting and while they can be ridiculously specific, they can also be vague and cold and I\u2019ve had patients several times over the years be upset about a diagnosis, but really, as far as insurance billing the code is appropriate.   Please don\u2019t feel embarrassed or like your doctor is annoyed with you. I doubt that\u2019s the case. Chart notes are just information. I hope you don\u2019t let this get to you. Always seek care when you need it, no one will judge you for that.","labels":1,"seconds_difference":1122.0,"score_ratio":2.1772151899}
-{"post_id":"klylov","domain":"askdocs_test","upvote_ratio":0.97,"history":"One spot on my back unbearable to touch for 15+ years. Please help, it's driving me crazy. 28 \/ F \/ caucasian \/ Maryland meds: sprintec, spironolactone conditions: none   height: 5' 1\" weight: 108lb activity level: fairly low but good diet and healthy weight  Really hoping someone can help me. There is a 'zone' of my mid-back that I can't bear to have pressure applied to. Massaging, poking, kneading, anything that would help relieve the pain and sensitivity triggers a full-body, tweaky reaction that makes me jerk away. Not exactly pain but it feels like extreme stimulation of all my nerves all at once. I highlighted the area on this stock photo. This has been the case since I was 14 or 15 years old. The area also gets stiff\/tense\/sore but I can't do anything to help it. I've only had one professional massage before but the guy asked me \"how long I've had sciatica\" (I wasn't aware I did), noted the extreme muscle spasms when trying to touch that area, and also noted that my glutes were spastic when manipulated too. Did some googling on sciatica and it looks like that ought to be lower in the back than this.  I know this isn't the most exciting or unusual complaint but really hoping someone can help. Right now it's really hurting me, feels like a tightly wound, tense area, and I can't seem to fix it with anything - heat or rest or meds aren't working and massaging it is out of the question. Seriously, my bf tried last night and it makes me grit my teeth and gasp and jerk away from just the weird nerve feeling.  Here's the image of where it hurts and reacts. https:\/\/imgur.com\/a\/Jh9Gxv5","c_root_id_A":"ghc8b0p","c_root_id_B":"ghc3vi1","created_at_utc_A":1609199740,"created_at_utc_B":1609197337,"score_A":46,"score_B":13,"human_ref_A":"Go to see an osteopathic physician.  They maybe able to diagnose and treat any soft-tissue or local neurogenic sources.   Edit: Not sure why I\u2019m being down-voted this is a legitimate recommendation. Took out the chiropractor recommendation.   This is the problem. The number 1 upvoted comment is suggesting that the issue is hyperalgesia but does not have any treatment recommendations. This is exactly what I\u2019m saying but with treatment options. People need to get educated about osteopathic medicine apparently.","human_ref_B":"Oh I might actually have an idea! Have you considered Notalgia Parestethica?   Things to do to help can be physiotherapy, strengthening the other muscles of your back, trying to \u201cunlock\u201d (don\u2019t know the word in english sorry) the small but strong muscles around your vertebrae that might be tense and irritating your sensory nerves thus causing the neuralgia\/allodynia, creams with capsaicin, and may sound like a long shot but make sure you have a well fitted bra as to help with balancing\/distributing weight on your back. Maybe see a dermatologist?  Source: am doctor that have previously worked in dermatology and met patients with the same complaint as you.","labels":1,"seconds_difference":2403.0,"score_ratio":3.5384615385}
-{"post_id":"klylov","domain":"askdocs_test","upvote_ratio":0.97,"history":"One spot on my back unbearable to touch for 15+ years. Please help, it's driving me crazy. 28 \/ F \/ caucasian \/ Maryland meds: sprintec, spironolactone conditions: none   height: 5' 1\" weight: 108lb activity level: fairly low but good diet and healthy weight  Really hoping someone can help me. There is a 'zone' of my mid-back that I can't bear to have pressure applied to. Massaging, poking, kneading, anything that would help relieve the pain and sensitivity triggers a full-body, tweaky reaction that makes me jerk away. Not exactly pain but it feels like extreme stimulation of all my nerves all at once. I highlighted the area on this stock photo. This has been the case since I was 14 or 15 years old. The area also gets stiff\/tense\/sore but I can't do anything to help it. I've only had one professional massage before but the guy asked me \"how long I've had sciatica\" (I wasn't aware I did), noted the extreme muscle spasms when trying to touch that area, and also noted that my glutes were spastic when manipulated too. Did some googling on sciatica and it looks like that ought to be lower in the back than this.  I know this isn't the most exciting or unusual complaint but really hoping someone can help. Right now it's really hurting me, feels like a tightly wound, tense area, and I can't seem to fix it with anything - heat or rest or meds aren't working and massaging it is out of the question. Seriously, my bf tried last night and it makes me grit my teeth and gasp and jerk away from just the weird nerve feeling.  Here's the image of where it hurts and reacts. https:\/\/imgur.com\/a\/Jh9Gxv5","c_root_id_A":"ghclohx","c_root_id_B":"ghcv30f","created_at_utc_A":1609207036,"created_at_utc_B":1609212127,"score_A":15,"score_B":24,"human_ref_A":"Not a doctor, but it sounds like notalgia paresthetica to me. I have it and have a dark patch of skin there too. Do you notice a difference in your skin color?  Also, do you have any itchiness there? NP is an itch that never goes away.","human_ref_B":"Not a doctor -I\u2019m prepared to get downvoted into oblivion for this but I haven\u2019t seen others suggest it yet. Is it possible you may have experienced trauma in early childhood? Like, emotional or physical trauma?  I was recently diagnosed with CPTSD and have just begun learning that my chronic pain (tummy issues and neck\/shoulder pain) may stem from traumatic experiences.  Could be a shot in the dark, but I think this type of stuff is severely over looked. The thing with PTSD is, it can pop up seemingly out of nowhere and\/or when you least expect it.  Edit: typos.","labels":0,"seconds_difference":5091.0,"score_ratio":1.6}
-{"post_id":"klylov","domain":"askdocs_test","upvote_ratio":0.97,"history":"One spot on my back unbearable to touch for 15+ years. Please help, it's driving me crazy. 28 \/ F \/ caucasian \/ Maryland meds: sprintec, spironolactone conditions: none   height: 5' 1\" weight: 108lb activity level: fairly low but good diet and healthy weight  Really hoping someone can help me. There is a 'zone' of my mid-back that I can't bear to have pressure applied to. Massaging, poking, kneading, anything that would help relieve the pain and sensitivity triggers a full-body, tweaky reaction that makes me jerk away. Not exactly pain but it feels like extreme stimulation of all my nerves all at once. I highlighted the area on this stock photo. This has been the case since I was 14 or 15 years old. The area also gets stiff\/tense\/sore but I can't do anything to help it. I've only had one professional massage before but the guy asked me \"how long I've had sciatica\" (I wasn't aware I did), noted the extreme muscle spasms when trying to touch that area, and also noted that my glutes were spastic when manipulated too. Did some googling on sciatica and it looks like that ought to be lower in the back than this.  I know this isn't the most exciting or unusual complaint but really hoping someone can help. Right now it's really hurting me, feels like a tightly wound, tense area, and I can't seem to fix it with anything - heat or rest or meds aren't working and massaging it is out of the question. Seriously, my bf tried last night and it makes me grit my teeth and gasp and jerk away from just the weird nerve feeling.  Here's the image of where it hurts and reacts. https:\/\/imgur.com\/a\/Jh9Gxv5","c_root_id_A":"ghcv30f","c_root_id_B":"ghcazkv","created_at_utc_A":1609212127,"created_at_utc_B":1609201220,"score_A":24,"score_B":15,"human_ref_A":"Not a doctor -I\u2019m prepared to get downvoted into oblivion for this but I haven\u2019t seen others suggest it yet. Is it possible you may have experienced trauma in early childhood? Like, emotional or physical trauma?  I was recently diagnosed with CPTSD and have just begun learning that my chronic pain (tummy issues and neck\/shoulder pain) may stem from traumatic experiences.  Could be a shot in the dark, but I think this type of stuff is severely over looked. The thing with PTSD is, it can pop up seemingly out of nowhere and\/or when you least expect it.  Edit: typos.","human_ref_B":"Not a doctor, but I had this experience on one side of my lower spine, an MRI revealed a herniated disc. It qualified me for physical therapy, and steroid injections which ultimately helped me heal. The PT prescribed exercises at home and ways to sleep. I can\u2019t even feel it anymore.","labels":1,"seconds_difference":10907.0,"score_ratio":1.6}
-{"post_id":"klylov","domain":"askdocs_test","upvote_ratio":0.97,"history":"One spot on my back unbearable to touch for 15+ years. Please help, it's driving me crazy. 28 \/ F \/ caucasian \/ Maryland meds: sprintec, spironolactone conditions: none   height: 5' 1\" weight: 108lb activity level: fairly low but good diet and healthy weight  Really hoping someone can help me. There is a 'zone' of my mid-back that I can't bear to have pressure applied to. Massaging, poking, kneading, anything that would help relieve the pain and sensitivity triggers a full-body, tweaky reaction that makes me jerk away. Not exactly pain but it feels like extreme stimulation of all my nerves all at once. I highlighted the area on this stock photo. This has been the case since I was 14 or 15 years old. The area also gets stiff\/tense\/sore but I can't do anything to help it. I've only had one professional massage before but the guy asked me \"how long I've had sciatica\" (I wasn't aware I did), noted the extreme muscle spasms when trying to touch that area, and also noted that my glutes were spastic when manipulated too. Did some googling on sciatica and it looks like that ought to be lower in the back than this.  I know this isn't the most exciting or unusual complaint but really hoping someone can help. Right now it's really hurting me, feels like a tightly wound, tense area, and I can't seem to fix it with anything - heat or rest or meds aren't working and massaging it is out of the question. Seriously, my bf tried last night and it makes me grit my teeth and gasp and jerk away from just the weird nerve feeling.  Here's the image of where it hurts and reacts. https:\/\/imgur.com\/a\/Jh9Gxv5","c_root_id_A":"ghc3vi1","c_root_id_B":"ghcv30f","created_at_utc_A":1609197337,"created_at_utc_B":1609212127,"score_A":13,"score_B":24,"human_ref_A":"Oh I might actually have an idea! Have you considered Notalgia Parestethica?   Things to do to help can be physiotherapy, strengthening the other muscles of your back, trying to \u201cunlock\u201d (don\u2019t know the word in english sorry) the small but strong muscles around your vertebrae that might be tense and irritating your sensory nerves thus causing the neuralgia\/allodynia, creams with capsaicin, and may sound like a long shot but make sure you have a well fitted bra as to help with balancing\/distributing weight on your back. Maybe see a dermatologist?  Source: am doctor that have previously worked in dermatology and met patients with the same complaint as you.","human_ref_B":"Not a doctor -I\u2019m prepared to get downvoted into oblivion for this but I haven\u2019t seen others suggest it yet. Is it possible you may have experienced trauma in early childhood? Like, emotional or physical trauma?  I was recently diagnosed with CPTSD and have just begun learning that my chronic pain (tummy issues and neck\/shoulder pain) may stem from traumatic experiences.  Could be a shot in the dark, but I think this type of stuff is severely over looked. The thing with PTSD is, it can pop up seemingly out of nowhere and\/or when you least expect it.  Edit: typos.","labels":0,"seconds_difference":14790.0,"score_ratio":1.8461538462}
-{"post_id":"klylov","domain":"askdocs_test","upvote_ratio":0.97,"history":"One spot on my back unbearable to touch for 15+ years. Please help, it's driving me crazy. 28 \/ F \/ caucasian \/ Maryland meds: sprintec, spironolactone conditions: none   height: 5' 1\" weight: 108lb activity level: fairly low but good diet and healthy weight  Really hoping someone can help me. There is a 'zone' of my mid-back that I can't bear to have pressure applied to. Massaging, poking, kneading, anything that would help relieve the pain and sensitivity triggers a full-body, tweaky reaction that makes me jerk away. Not exactly pain but it feels like extreme stimulation of all my nerves all at once. I highlighted the area on this stock photo. This has been the case since I was 14 or 15 years old. The area also gets stiff\/tense\/sore but I can't do anything to help it. I've only had one professional massage before but the guy asked me \"how long I've had sciatica\" (I wasn't aware I did), noted the extreme muscle spasms when trying to touch that area, and also noted that my glutes were spastic when manipulated too. Did some googling on sciatica and it looks like that ought to be lower in the back than this.  I know this isn't the most exciting or unusual complaint but really hoping someone can help. Right now it's really hurting me, feels like a tightly wound, tense area, and I can't seem to fix it with anything - heat or rest or meds aren't working and massaging it is out of the question. Seriously, my bf tried last night and it makes me grit my teeth and gasp and jerk away from just the weird nerve feeling.  Here's the image of where it hurts and reacts. https:\/\/imgur.com\/a\/Jh9Gxv5","c_root_id_A":"ghc3vi1","c_root_id_B":"ghclohx","created_at_utc_A":1609197337,"created_at_utc_B":1609207036,"score_A":13,"score_B":15,"human_ref_A":"Oh I might actually have an idea! Have you considered Notalgia Parestethica?   Things to do to help can be physiotherapy, strengthening the other muscles of your back, trying to \u201cunlock\u201d (don\u2019t know the word in english sorry) the small but strong muscles around your vertebrae that might be tense and irritating your sensory nerves thus causing the neuralgia\/allodynia, creams with capsaicin, and may sound like a long shot but make sure you have a well fitted bra as to help with balancing\/distributing weight on your back. Maybe see a dermatologist?  Source: am doctor that have previously worked in dermatology and met patients with the same complaint as you.","human_ref_B":"Not a doctor, but it sounds like notalgia paresthetica to me. I have it and have a dark patch of skin there too. Do you notice a difference in your skin color?  Also, do you have any itchiness there? NP is an itch that never goes away.","labels":0,"seconds_difference":9699.0,"score_ratio":1.1538461538}
-{"post_id":"klylov","domain":"askdocs_test","upvote_ratio":0.97,"history":"One spot on my back unbearable to touch for 15+ years. Please help, it's driving me crazy. 28 \/ F \/ caucasian \/ Maryland meds: sprintec, spironolactone conditions: none   height: 5' 1\" weight: 108lb activity level: fairly low but good diet and healthy weight  Really hoping someone can help me. There is a 'zone' of my mid-back that I can't bear to have pressure applied to. Massaging, poking, kneading, anything that would help relieve the pain and sensitivity triggers a full-body, tweaky reaction that makes me jerk away. Not exactly pain but it feels like extreme stimulation of all my nerves all at once. I highlighted the area on this stock photo. This has been the case since I was 14 or 15 years old. The area also gets stiff\/tense\/sore but I can't do anything to help it. I've only had one professional massage before but the guy asked me \"how long I've had sciatica\" (I wasn't aware I did), noted the extreme muscle spasms when trying to touch that area, and also noted that my glutes were spastic when manipulated too. Did some googling on sciatica and it looks like that ought to be lower in the back than this.  I know this isn't the most exciting or unusual complaint but really hoping someone can help. Right now it's really hurting me, feels like a tightly wound, tense area, and I can't seem to fix it with anything - heat or rest or meds aren't working and massaging it is out of the question. Seriously, my bf tried last night and it makes me grit my teeth and gasp and jerk away from just the weird nerve feeling.  Here's the image of where it hurts and reacts. https:\/\/imgur.com\/a\/Jh9Gxv5","c_root_id_A":"ghc3vi1","c_root_id_B":"ghcazkv","created_at_utc_A":1609197337,"created_at_utc_B":1609201220,"score_A":13,"score_B":15,"human_ref_A":"Oh I might actually have an idea! Have you considered Notalgia Parestethica?   Things to do to help can be physiotherapy, strengthening the other muscles of your back, trying to \u201cunlock\u201d (don\u2019t know the word in english sorry) the small but strong muscles around your vertebrae that might be tense and irritating your sensory nerves thus causing the neuralgia\/allodynia, creams with capsaicin, and may sound like a long shot but make sure you have a well fitted bra as to help with balancing\/distributing weight on your back. Maybe see a dermatologist?  Source: am doctor that have previously worked in dermatology and met patients with the same complaint as you.","human_ref_B":"Not a doctor, but I had this experience on one side of my lower spine, an MRI revealed a herniated disc. It qualified me for physical therapy, and steroid injections which ultimately helped me heal. The PT prescribed exercises at home and ways to sleep. I can\u2019t even feel it anymore.","labels":0,"seconds_difference":3883.0,"score_ratio":1.1538461538}
-{"post_id":"klylov","domain":"askdocs_test","upvote_ratio":0.97,"history":"One spot on my back unbearable to touch for 15+ years. Please help, it's driving me crazy. 28 \/ F \/ caucasian \/ Maryland meds: sprintec, spironolactone conditions: none   height: 5' 1\" weight: 108lb activity level: fairly low but good diet and healthy weight  Really hoping someone can help me. There is a 'zone' of my mid-back that I can't bear to have pressure applied to. Massaging, poking, kneading, anything that would help relieve the pain and sensitivity triggers a full-body, tweaky reaction that makes me jerk away. Not exactly pain but it feels like extreme stimulation of all my nerves all at once. I highlighted the area on this stock photo. This has been the case since I was 14 or 15 years old. The area also gets stiff\/tense\/sore but I can't do anything to help it. I've only had one professional massage before but the guy asked me \"how long I've had sciatica\" (I wasn't aware I did), noted the extreme muscle spasms when trying to touch that area, and also noted that my glutes were spastic when manipulated too. Did some googling on sciatica and it looks like that ought to be lower in the back than this.  I know this isn't the most exciting or unusual complaint but really hoping someone can help. Right now it's really hurting me, feels like a tightly wound, tense area, and I can't seem to fix it with anything - heat or rest or meds aren't working and massaging it is out of the question. Seriously, my bf tried last night and it makes me grit my teeth and gasp and jerk away from just the weird nerve feeling.  Here's the image of where it hurts and reacts. https:\/\/imgur.com\/a\/Jh9Gxv5","c_root_id_A":"ghc3vi1","c_root_id_B":"ghcyq7t","created_at_utc_A":1609197337,"created_at_utc_B":1609214157,"score_A":13,"score_B":15,"human_ref_A":"Oh I might actually have an idea! Have you considered Notalgia Parestethica?   Things to do to help can be physiotherapy, strengthening the other muscles of your back, trying to \u201cunlock\u201d (don\u2019t know the word in english sorry) the small but strong muscles around your vertebrae that might be tense and irritating your sensory nerves thus causing the neuralgia\/allodynia, creams with capsaicin, and may sound like a long shot but make sure you have a well fitted bra as to help with balancing\/distributing weight on your back. Maybe see a dermatologist?  Source: am doctor that have previously worked in dermatology and met patients with the same complaint as you.","human_ref_B":"Not a doctor. Have a similar zone in my lower back. Saw a doctor for it after I started having weakness in my hips and left leg. Doctor sent me to a physical therapist who did dry needling through my hips, glutes, lower back and shoulder.  The pain is nearly gone after 6 weekly appointments and the leg weakness is entirely repaired. Their \u201cofficial\u201d diagnosis was inconclusive but... I would ask your doctor about dry needling.","labels":0,"seconds_difference":16820.0,"score_ratio":1.1538461538}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glosjia","c_root_id_B":"gloqrcz","created_at_utc_A":1612236258,"created_at_utc_B":1612235357,"score_A":367,"score_B":36,"human_ref_A":"Sialadenitis (infection or inflammation of a salivary gland) can be seen at end of life, due to dehydration causing salivary stones to form and\/or a weakened immune system as part of the dying process. People with a history of head or neck radiation are probably more at risk also.   I can't say for sure that's the issue but it seems likely based on your description.   The only concern is whether or not it's causing pain, if it is, it could be appropriate to start stronger pain medication. Oral care to gently moisten the mouth and a warm compress to the area may also help.   You can ask hospice if they think this is likely and if they have any additional recommendations.","human_ref_B":"I\u2019m sorry that you are going through the process of losing your mom. Different things can happen when our loved ones are in their final days. If hospice doesn\u2019t know, it may be hard for us to tell you when we are not present. The most important thing is that she is not pain and is as comfortable as possible during this process. Talk to her, caress her and love on her while you can. I\u2019ve been there. Again, so sorry for what you are experiencing.","labels":1,"seconds_difference":901.0,"score_ratio":10.1944444444}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"gloopqx","c_root_id_B":"glosjia","created_at_utc_A":1612234361,"created_at_utc_B":1612236258,"score_A":10,"score_B":367,"human_ref_A":"Definitely no expert in any of this, but do you know why she was taking thyroid (I\u2019m assuming it\u2019s levothyroxine or some other kind of thyroid replacement)? Can\u2019t think of anything at the end of life that could do that but there\u2019s a relatively common disease that causes hypothyroidism and a rock hard thyroid but she would have had and their a very long time.","human_ref_B":"Sialadenitis (infection or inflammation of a salivary gland) can be seen at end of life, due to dehydration causing salivary stones to form and\/or a weakened immune system as part of the dying process. People with a history of head or neck radiation are probably more at risk also.   I can't say for sure that's the issue but it seems likely based on your description.   The only concern is whether or not it's causing pain, if it is, it could be appropriate to start stronger pain medication. Oral care to gently moisten the mouth and a warm compress to the area may also help.   You can ask hospice if they think this is likely and if they have any additional recommendations.","labels":0,"seconds_difference":1897.0,"score_ratio":36.7}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"gloqrcz","c_root_id_B":"glpb5pp","created_at_utc_A":1612235357,"created_at_utc_B":1612247424,"score_A":36,"score_B":68,"human_ref_A":"I\u2019m sorry that you are going through the process of losing your mom. Different things can happen when our loved ones are in their final days. If hospice doesn\u2019t know, it may be hard for us to tell you when we are not present. The most important thing is that she is not pain and is as comfortable as possible during this process. Talk to her, caress her and love on her while you can. I\u2019ve been there. Again, so sorry for what you are experiencing.","human_ref_B":"Not a doctor, but im so sorry you are going through this. I lost my dad to a brain tumour as well. Wishing her a peaceful and painless passing. <3","labels":0,"seconds_difference":12067.0,"score_ratio":1.8888888889}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpb5pp","c_root_id_B":"gloopqx","created_at_utc_A":1612247424,"created_at_utc_B":1612234361,"score_A":68,"score_B":10,"human_ref_A":"Not a doctor, but im so sorry you are going through this. I lost my dad to a brain tumour as well. Wishing her a peaceful and painless passing. <3","human_ref_B":"Definitely no expert in any of this, but do you know why she was taking thyroid (I\u2019m assuming it\u2019s levothyroxine or some other kind of thyroid replacement)? Can\u2019t think of anything at the end of life that could do that but there\u2019s a relatively common disease that causes hypothyroidism and a rock hard thyroid but she would have had and their a very long time.","labels":1,"seconds_difference":13063.0,"score_ratio":6.8}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"gloqrcz","c_root_id_B":"glq14db","created_at_utc_A":1612235357,"created_at_utc_B":1612269077,"score_A":36,"score_B":39,"human_ref_A":"I\u2019m sorry that you are going through the process of losing your mom. Different things can happen when our loved ones are in their final days. If hospice doesn\u2019t know, it may be hard for us to tell you when we are not present. The most important thing is that she is not pain and is as comfortable as possible during this process. Talk to her, caress her and love on her while you can. I\u2019ve been there. Again, so sorry for what you are experiencing.","human_ref_B":"Also, there is a submental lymphnode that could be a site of metastasis, giving the touch and feel that you describe.   Sorry for the awful situation.","labels":0,"seconds_difference":33720.0,"score_ratio":1.0833333333}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glq14db","c_root_id_B":"glpw3u4","created_at_utc_A":1612269077,"created_at_utc_B":1612265287,"score_A":39,"score_B":11,"human_ref_A":"Also, there is a submental lymphnode that could be a site of metastasis, giving the touch and feel that you describe.   Sorry for the awful situation.","human_ref_B":"Oh I am very sorry about your Mum, hugs x","labels":1,"seconds_difference":3790.0,"score_ratio":3.5454545455}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"gloopqx","c_root_id_B":"glq14db","created_at_utc_A":1612234361,"created_at_utc_B":1612269077,"score_A":10,"score_B":39,"human_ref_A":"Definitely no expert in any of this, but do you know why she was taking thyroid (I\u2019m assuming it\u2019s levothyroxine or some other kind of thyroid replacement)? Can\u2019t think of anything at the end of life that could do that but there\u2019s a relatively common disease that causes hypothyroidism and a rock hard thyroid but she would have had and their a very long time.","human_ref_B":"Also, there is a submental lymphnode that could be a site of metastasis, giving the touch and feel that you describe.   Sorry for the awful situation.","labels":0,"seconds_difference":34716.0,"score_ratio":3.9}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpo76b","c_root_id_B":"glq14db","created_at_utc_A":1612258384,"created_at_utc_B":1612269077,"score_A":8,"score_B":39,"human_ref_A":"I can't offer any advice, but I'm so sorry you're going through this. I was with my grandmother a year back through her last stages of brain cancer and was with her when she passed in hospice, then with my grandfather 6 months later. It's the most painful thing I've ever experienced, and wouldn't wish it on anyone.","human_ref_B":"Also, there is a submental lymphnode that could be a site of metastasis, giving the touch and feel that you describe.   Sorry for the awful situation.","labels":0,"seconds_difference":10693.0,"score_ratio":4.875}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glq14db","c_root_id_B":"glpz96r","created_at_utc_A":1612269077,"created_at_utc_B":1612267739,"score_A":39,"score_B":5,"human_ref_A":"Also, there is a submental lymphnode that could be a site of metastasis, giving the touch and feel that you describe.   Sorry for the awful situation.","human_ref_B":"Not a doctor. I can\u2019t imagine how you must feel x I\u2019m so sorry","labels":1,"seconds_difference":1338.0,"score_ratio":7.8}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glq14db","c_root_id_B":"glpwm0g","created_at_utc_A":1612269077,"created_at_utc_B":1612265700,"score_A":39,"score_B":3,"human_ref_A":"Also, there is a submental lymphnode that could be a site of metastasis, giving the touch and feel that you describe.   Sorry for the awful situation.","human_ref_B":"Not a doctor just wanted to say that I\u2019m sorry about your mum. 65 is young. My mother will be 58 in a couple weeks and I can\u2019t think of losing her within the next 7yrs. Sending virtual hugs from a stranger in Australia","labels":1,"seconds_difference":3377.0,"score_ratio":13.0}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glq14db","c_root_id_B":"glpjqft","created_at_utc_A":1612269077,"created_at_utc_B":1612254316,"score_A":39,"score_B":2,"human_ref_A":"Also, there is a submental lymphnode that could be a site of metastasis, giving the touch and feel that you describe.   Sorry for the awful situation.","human_ref_B":"I pray for you and your mom, I don't know what to say all I can do is pray God to make it easier for her and for you guys...","labels":1,"seconds_difference":14761.0,"score_ratio":19.5}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"gloqrcz","c_root_id_B":"gloopqx","created_at_utc_A":1612235357,"created_at_utc_B":1612234361,"score_A":36,"score_B":10,"human_ref_A":"I\u2019m sorry that you are going through the process of losing your mom. Different things can happen when our loved ones are in their final days. If hospice doesn\u2019t know, it may be hard for us to tell you when we are not present. The most important thing is that she is not pain and is as comfortable as possible during this process. Talk to her, caress her and love on her while you can. I\u2019ve been there. Again, so sorry for what you are experiencing.","human_ref_B":"Definitely no expert in any of this, but do you know why she was taking thyroid (I\u2019m assuming it\u2019s levothyroxine or some other kind of thyroid replacement)? Can\u2019t think of anything at the end of life that could do that but there\u2019s a relatively common disease that causes hypothyroidism and a rock hard thyroid but she would have had and their a very long time.","labels":1,"seconds_difference":996.0,"score_ratio":3.6}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glqop6n","c_root_id_B":"glpw3u4","created_at_utc_A":1612280048,"created_at_utc_B":1612265287,"score_A":13,"score_B":11,"human_ref_A":"Most likely sialadenitis, (aka inflammation of the salivary glands). If off to the side could be parotiditis. The swelling can be quite unnerving. Warm compresses and NSAIDs are mainstays of treatment","human_ref_B":"Oh I am very sorry about your Mum, hugs x","labels":1,"seconds_difference":14761.0,"score_ratio":1.1818181818}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"gloopqx","c_root_id_B":"glqop6n","created_at_utc_A":1612234361,"created_at_utc_B":1612280048,"score_A":10,"score_B":13,"human_ref_A":"Definitely no expert in any of this, but do you know why she was taking thyroid (I\u2019m assuming it\u2019s levothyroxine or some other kind of thyroid replacement)? Can\u2019t think of anything at the end of life that could do that but there\u2019s a relatively common disease that causes hypothyroidism and a rock hard thyroid but she would have had and their a very long time.","human_ref_B":"Most likely sialadenitis, (aka inflammation of the salivary glands). If off to the side could be parotiditis. The swelling can be quite unnerving. Warm compresses and NSAIDs are mainstays of treatment","labels":0,"seconds_difference":45687.0,"score_ratio":1.3}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glq3hyf","c_root_id_B":"glqop6n","created_at_utc_A":1612270618,"created_at_utc_B":1612280048,"score_A":10,"score_B":13,"human_ref_A":"Not a doctor, but I wanted to pass on some love for the days ahead- I lost my mother recently.  I\u2019m sorry you\u2019re going through this.","human_ref_B":"Most likely sialadenitis, (aka inflammation of the salivary glands). If off to the side could be parotiditis. The swelling can be quite unnerving. Warm compresses and NSAIDs are mainstays of treatment","labels":0,"seconds_difference":9430.0,"score_ratio":1.3}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glqop6n","c_root_id_B":"glpo76b","created_at_utc_A":1612280048,"created_at_utc_B":1612258384,"score_A":13,"score_B":8,"human_ref_A":"Most likely sialadenitis, (aka inflammation of the salivary glands). If off to the side could be parotiditis. The swelling can be quite unnerving. Warm compresses and NSAIDs are mainstays of treatment","human_ref_B":"I can't offer any advice, but I'm so sorry you're going through this. I was with my grandmother a year back through her last stages of brain cancer and was with her when she passed in hospice, then with my grandfather 6 months later. It's the most painful thing I've ever experienced, and wouldn't wish it on anyone.","labels":1,"seconds_difference":21664.0,"score_ratio":1.625}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glqf1zu","c_root_id_B":"glqop6n","created_at_utc_A":1612276509,"created_at_utc_B":1612280048,"score_A":6,"score_B":13,"human_ref_A":"Not a doctor but this happened to my mom in hospice for a brain tumor. Stories are eerily similar down to the height and weight. I was surprised to touch the neck and find it hard. My heart goes out to you.","human_ref_B":"Most likely sialadenitis, (aka inflammation of the salivary glands). If off to the side could be parotiditis. The swelling can be quite unnerving. Warm compresses and NSAIDs are mainstays of treatment","labels":0,"seconds_difference":3539.0,"score_ratio":2.1666666667}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glqop6n","c_root_id_B":"glqldmb","created_at_utc_A":1612280048,"created_at_utc_B":1612278821,"score_A":13,"score_B":6,"human_ref_A":"Most likely sialadenitis, (aka inflammation of the salivary glands). If off to the side could be parotiditis. The swelling can be quite unnerving. Warm compresses and NSAIDs are mainstays of treatment","human_ref_B":"Not a doctor but my Mum died of a brain tumour at 66 and everything just seemed so familiar that I wanted to send my best wishes.","labels":1,"seconds_difference":1227.0,"score_ratio":2.1666666667}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glqop6n","c_root_id_B":"glpz96r","created_at_utc_A":1612280048,"created_at_utc_B":1612267739,"score_A":13,"score_B":5,"human_ref_A":"Most likely sialadenitis, (aka inflammation of the salivary glands). If off to the side could be parotiditis. The swelling can be quite unnerving. Warm compresses and NSAIDs are mainstays of treatment","human_ref_B":"Not a doctor. I can\u2019t imagine how you must feel x I\u2019m so sorry","labels":1,"seconds_difference":12309.0,"score_ratio":2.6}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpwm0g","c_root_id_B":"glqop6n","created_at_utc_A":1612265700,"created_at_utc_B":1612280048,"score_A":3,"score_B":13,"human_ref_A":"Not a doctor just wanted to say that I\u2019m sorry about your mum. 65 is young. My mother will be 58 in a couple weeks and I can\u2019t think of losing her within the next 7yrs. Sending virtual hugs from a stranger in Australia","human_ref_B":"Most likely sialadenitis, (aka inflammation of the salivary glands). If off to the side could be parotiditis. The swelling can be quite unnerving. Warm compresses and NSAIDs are mainstays of treatment","labels":0,"seconds_difference":14348.0,"score_ratio":4.3333333333}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpjqft","c_root_id_B":"glqop6n","created_at_utc_A":1612254316,"created_at_utc_B":1612280048,"score_A":2,"score_B":13,"human_ref_A":"I pray for you and your mom, I don't know what to say all I can do is pray God to make it easier for her and for you guys...","human_ref_B":"Most likely sialadenitis, (aka inflammation of the salivary glands). If off to the side could be parotiditis. The swelling can be quite unnerving. Warm compresses and NSAIDs are mainstays of treatment","labels":0,"seconds_difference":25732.0,"score_ratio":6.5}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glqiako","c_root_id_B":"glqop6n","created_at_utc_A":1612277691,"created_at_utc_B":1612280048,"score_A":2,"score_B":13,"human_ref_A":"I'm so sorry to hear this. Praying for her and hope she leaves in peace without anymore suffering.","human_ref_B":"Most likely sialadenitis, (aka inflammation of the salivary glands). If off to the side could be parotiditis. The swelling can be quite unnerving. Warm compresses and NSAIDs are mainstays of treatment","labels":0,"seconds_difference":2357.0,"score_ratio":6.5}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpw3u4","c_root_id_B":"gloopqx","created_at_utc_A":1612265287,"created_at_utc_B":1612234361,"score_A":11,"score_B":10,"human_ref_A":"Oh I am very sorry about your Mum, hugs x","human_ref_B":"Definitely no expert in any of this, but do you know why she was taking thyroid (I\u2019m assuming it\u2019s levothyroxine or some other kind of thyroid replacement)? Can\u2019t think of anything at the end of life that could do that but there\u2019s a relatively common disease that causes hypothyroidism and a rock hard thyroid but she would have had and their a very long time.","labels":1,"seconds_difference":30926.0,"score_ratio":1.1}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpo76b","c_root_id_B":"glpw3u4","created_at_utc_A":1612258384,"created_at_utc_B":1612265287,"score_A":8,"score_B":11,"human_ref_A":"I can't offer any advice, but I'm so sorry you're going through this. I was with my grandmother a year back through her last stages of brain cancer and was with her when she passed in hospice, then with my grandfather 6 months later. It's the most painful thing I've ever experienced, and wouldn't wish it on anyone.","human_ref_B":"Oh I am very sorry about your Mum, hugs x","labels":0,"seconds_difference":6903.0,"score_ratio":1.375}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpw3u4","c_root_id_B":"glpjqft","created_at_utc_A":1612265287,"created_at_utc_B":1612254316,"score_A":11,"score_B":2,"human_ref_A":"Oh I am very sorry about your Mum, hugs x","human_ref_B":"I pray for you and your mom, I don't know what to say all I can do is pray God to make it easier for her and for you guys...","labels":1,"seconds_difference":10971.0,"score_ratio":5.5}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glq3hyf","c_root_id_B":"glpo76b","created_at_utc_A":1612270618,"created_at_utc_B":1612258384,"score_A":10,"score_B":8,"human_ref_A":"Not a doctor, but I wanted to pass on some love for the days ahead- I lost my mother recently.  I\u2019m sorry you\u2019re going through this.","human_ref_B":"I can't offer any advice, but I'm so sorry you're going through this. I was with my grandmother a year back through her last stages of brain cancer and was with her when she passed in hospice, then with my grandfather 6 months later. It's the most painful thing I've ever experienced, and wouldn't wish it on anyone.","labels":1,"seconds_difference":12234.0,"score_ratio":1.25}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glq3hyf","c_root_id_B":"glpz96r","created_at_utc_A":1612270618,"created_at_utc_B":1612267739,"score_A":10,"score_B":5,"human_ref_A":"Not a doctor, but I wanted to pass on some love for the days ahead- I lost my mother recently.  I\u2019m sorry you\u2019re going through this.","human_ref_B":"Not a doctor. I can\u2019t imagine how you must feel x I\u2019m so sorry","labels":1,"seconds_difference":2879.0,"score_ratio":2.0}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpwm0g","c_root_id_B":"glq3hyf","created_at_utc_A":1612265700,"created_at_utc_B":1612270618,"score_A":3,"score_B":10,"human_ref_A":"Not a doctor just wanted to say that I\u2019m sorry about your mum. 65 is young. My mother will be 58 in a couple weeks and I can\u2019t think of losing her within the next 7yrs. Sending virtual hugs from a stranger in Australia","human_ref_B":"Not a doctor, but I wanted to pass on some love for the days ahead- I lost my mother recently.  I\u2019m sorry you\u2019re going through this.","labels":0,"seconds_difference":4918.0,"score_ratio":3.3333333333}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpjqft","c_root_id_B":"glq3hyf","created_at_utc_A":1612254316,"created_at_utc_B":1612270618,"score_A":2,"score_B":10,"human_ref_A":"I pray for you and your mom, I don't know what to say all I can do is pray God to make it easier for her and for you guys...","human_ref_B":"Not a doctor, but I wanted to pass on some love for the days ahead- I lost my mother recently.  I\u2019m sorry you\u2019re going through this.","labels":0,"seconds_difference":16302.0,"score_ratio":5.0}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpo76b","c_root_id_B":"glpjqft","created_at_utc_A":1612258384,"created_at_utc_B":1612254316,"score_A":8,"score_B":2,"human_ref_A":"I can't offer any advice, but I'm so sorry you're going through this. I was with my grandmother a year back through her last stages of brain cancer and was with her when she passed in hospice, then with my grandfather 6 months later. It's the most painful thing I've ever experienced, and wouldn't wish it on anyone.","human_ref_B":"I pray for you and your mom, I don't know what to say all I can do is pray God to make it easier for her and for you guys...","labels":1,"seconds_difference":4068.0,"score_ratio":4.0}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpz96r","c_root_id_B":"glqf1zu","created_at_utc_A":1612267739,"created_at_utc_B":1612276509,"score_A":5,"score_B":6,"human_ref_A":"Not a doctor. I can\u2019t imagine how you must feel x I\u2019m so sorry","human_ref_B":"Not a doctor but this happened to my mom in hospice for a brain tumor. Stories are eerily similar down to the height and weight. I was surprised to touch the neck and find it hard. My heart goes out to you.","labels":0,"seconds_difference":8770.0,"score_ratio":1.2}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpwm0g","c_root_id_B":"glqf1zu","created_at_utc_A":1612265700,"created_at_utc_B":1612276509,"score_A":3,"score_B":6,"human_ref_A":"Not a doctor just wanted to say that I\u2019m sorry about your mum. 65 is young. My mother will be 58 in a couple weeks and I can\u2019t think of losing her within the next 7yrs. Sending virtual hugs from a stranger in Australia","human_ref_B":"Not a doctor but this happened to my mom in hospice for a brain tumor. Stories are eerily similar down to the height and weight. I was surprised to touch the neck and find it hard. My heart goes out to you.","labels":0,"seconds_difference":10809.0,"score_ratio":2.0}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpjqft","c_root_id_B":"glqf1zu","created_at_utc_A":1612254316,"created_at_utc_B":1612276509,"score_A":2,"score_B":6,"human_ref_A":"I pray for you and your mom, I don't know what to say all I can do is pray God to make it easier for her and for you guys...","human_ref_B":"Not a doctor but this happened to my mom in hospice for a brain tumor. Stories are eerily similar down to the height and weight. I was surprised to touch the neck and find it hard. My heart goes out to you.","labels":0,"seconds_difference":22193.0,"score_ratio":3.0}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpz96r","c_root_id_B":"glqldmb","created_at_utc_A":1612267739,"created_at_utc_B":1612278821,"score_A":5,"score_B":6,"human_ref_A":"Not a doctor. I can\u2019t imagine how you must feel x I\u2019m so sorry","human_ref_B":"Not a doctor but my Mum died of a brain tumour at 66 and everything just seemed so familiar that I wanted to send my best wishes.","labels":0,"seconds_difference":11082.0,"score_ratio":1.2}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpwm0g","c_root_id_B":"glqldmb","created_at_utc_A":1612265700,"created_at_utc_B":1612278821,"score_A":3,"score_B":6,"human_ref_A":"Not a doctor just wanted to say that I\u2019m sorry about your mum. 65 is young. My mother will be 58 in a couple weeks and I can\u2019t think of losing her within the next 7yrs. Sending virtual hugs from a stranger in Australia","human_ref_B":"Not a doctor but my Mum died of a brain tumour at 66 and everything just seemed so familiar that I wanted to send my best wishes.","labels":0,"seconds_difference":13121.0,"score_ratio":2.0}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpjqft","c_root_id_B":"glqldmb","created_at_utc_A":1612254316,"created_at_utc_B":1612278821,"score_A":2,"score_B":6,"human_ref_A":"I pray for you and your mom, I don't know what to say all I can do is pray God to make it easier for her and for you guys...","human_ref_B":"Not a doctor but my Mum died of a brain tumour at 66 and everything just seemed so familiar that I wanted to send my best wishes.","labels":0,"seconds_difference":24505.0,"score_ratio":3.0}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glqldmb","c_root_id_B":"glqiako","created_at_utc_A":1612278821,"created_at_utc_B":1612277691,"score_A":6,"score_B":2,"human_ref_A":"Not a doctor but my Mum died of a brain tumour at 66 and everything just seemed so familiar that I wanted to send my best wishes.","human_ref_B":"I'm so sorry to hear this. Praying for her and hope she leaves in peace without anymore suffering.","labels":1,"seconds_difference":1130.0,"score_ratio":3.0}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpwm0g","c_root_id_B":"glpz96r","created_at_utc_A":1612265700,"created_at_utc_B":1612267739,"score_A":3,"score_B":5,"human_ref_A":"Not a doctor just wanted to say that I\u2019m sorry about your mum. 65 is young. My mother will be 58 in a couple weeks and I can\u2019t think of losing her within the next 7yrs. Sending virtual hugs from a stranger in Australia","human_ref_B":"Not a doctor. I can\u2019t imagine how you must feel x I\u2019m so sorry","labels":0,"seconds_difference":2039.0,"score_ratio":1.6666666667}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpz96r","c_root_id_B":"glpjqft","created_at_utc_A":1612267739,"created_at_utc_B":1612254316,"score_A":5,"score_B":2,"human_ref_A":"Not a doctor. I can\u2019t imagine how you must feel x I\u2019m so sorry","human_ref_B":"I pray for you and your mom, I don't know what to say all I can do is pray God to make it easier for her and for you guys...","labels":1,"seconds_difference":13423.0,"score_ratio":2.5}
-{"post_id":"lajmq5","domain":"askdocs_test","upvote_ratio":0.99,"history":"My dying mother\u2019s neck is rock hard around where her thyroid is. Hospice nurses aren\u2019t sure why. I was just cleaning my mom\u2019s mouth and checking her over when I noticed that her neck under her chin is really puffed up. I touched it and it\u2019s rock hard. She is in her final days of life and is no longer eating or drinking anything (except for about a teaspoon of water I\u2019m able to get her to swallow every now and then). I called hospice and they aren\u2019t sure what could be causing it. Hospice started her on liquid lorazepam (2.5ml every 8 hours) and took her off of all of her other meds days ago, one being her thyroid medication. It doesn\u2019t seem to be impacting her breathing any, but it still has me concerned. Does anyone know what could be causing this?  Additional info: My mom is 64F, 5\u20194\u201d, approx 140 lbs. She was diagnosed with a severe brain tumor 5 months ago. Even with radiation it continued growing.","c_root_id_A":"glpwm0g","c_root_id_B":"glpjqft","created_at_utc_A":1612265700,"created_at_utc_B":1612254316,"score_A":3,"score_B":2,"human_ref_A":"Not a doctor just wanted to say that I\u2019m sorry about your mum. 65 is young. My mother will be 58 in a couple weeks and I can\u2019t think of losing her within the next 7yrs. Sending virtual hugs from a stranger in Australia","human_ref_B":"I pray for you and your mom, I don't know what to say all I can do is pray God to make it easier for her and for you guys...","labels":1,"seconds_difference":11384.0,"score_ratio":1.5}
-{"post_id":"nbda3w","domain":"askdocs_test","upvote_ratio":0.9,"history":"(24f) is it safe to be around someone with covid????? i know how it sounds and short answer is No but hear me out; my mom got diagnosed with covid, got quarantined for about two weeks then said she doesn\u2019t have it anymore. few days ago got diagnosed again with covid but this time she won\u2019t quarantine and she says she \u2018heard\u2019 that it\u2019s ok and safe to sit with us without a mask on even tho she has it. i\u2019m not vaccinated yet. is wearing a mask going to protect me even tho we live in the same house??","c_root_id_A":"gxyngc6","c_root_id_B":"gxyyhxf","created_at_utc_A":1620901650,"created_at_utc_B":1620909272,"score_A":277,"score_B":342,"human_ref_A":"No it\u2019s not safe for her to sit with you without a mask on.  Was her second diagnosis made from a nasal swab or a different kind of test?   Also, a standard surgical mask alone will not protect you in sustained close contact with someone who has active COVID.  If she\u2019s not wearing a mask and coughing\/exhaling\/touching stuff in the house you are being exposed.  This is some dangerously selfish behaviour from your mom.","human_ref_B":"if the second test was just a few weeks after the first, ita likely just a persistent positive and not a new infection, ie ok to be out of quarantine if her symptoms have resolved.   not even sure why she'd be tested again so soon if thats the case","labels":0,"seconds_difference":7622.0,"score_ratio":1.2346570397}
-{"post_id":"nbda3w","domain":"askdocs_test","upvote_ratio":0.9,"history":"(24f) is it safe to be around someone with covid????? i know how it sounds and short answer is No but hear me out; my mom got diagnosed with covid, got quarantined for about two weeks then said she doesn\u2019t have it anymore. few days ago got diagnosed again with covid but this time she won\u2019t quarantine and she says she \u2018heard\u2019 that it\u2019s ok and safe to sit with us without a mask on even tho she has it. i\u2019m not vaccinated yet. is wearing a mask going to protect me even tho we live in the same house??","c_root_id_A":"gxyngc6","c_root_id_B":"gxzmlqo","created_at_utc_A":1620901650,"created_at_utc_B":1620920543,"score_A":277,"score_B":308,"human_ref_A":"No it\u2019s not safe for her to sit with you without a mask on.  Was her second diagnosis made from a nasal swab or a different kind of test?   Also, a standard surgical mask alone will not protect you in sustained close contact with someone who has active COVID.  If she\u2019s not wearing a mask and coughing\/exhaling\/touching stuff in the house you are being exposed.  This is some dangerously selfish behaviour from your mom.","human_ref_B":"Why did she get tested again? At my hospital, we don\u2019t test again within 90 days unless a new onset of symptoms. If your mom completed her initial two week period and is now free of symptoms, she is cleared from quarantine. If she was tested because of new symptoms, she should talk to her doctor about the need for another quarantine period.","labels":0,"seconds_difference":18893.0,"score_ratio":1.1119133574}
-{"post_id":"nbda3w","domain":"askdocs_test","upvote_ratio":0.9,"history":"(24f) is it safe to be around someone with covid????? i know how it sounds and short answer is No but hear me out; my mom got diagnosed with covid, got quarantined for about two weeks then said she doesn\u2019t have it anymore. few days ago got diagnosed again with covid but this time she won\u2019t quarantine and she says she \u2018heard\u2019 that it\u2019s ok and safe to sit with us without a mask on even tho she has it. i\u2019m not vaccinated yet. is wearing a mask going to protect me even tho we live in the same house??","c_root_id_A":"gy1oiyh","c_root_id_B":"gy1djqx","created_at_utc_A":1620953712,"created_at_utc_B":1620948005,"score_A":9,"score_B":2,"human_ref_A":"Quarantine is only recommended for 10 days for people with healthy immune system and 20 days for immunosuppressed people. It is not recommended to test someone twice within a 90 day period, so the real mistake is whoever decided to test her again.","human_ref_B":"rule of thumb is, 2 days without fewer and improved symptomes after 10 days","labels":1,"seconds_difference":5707.0,"score_ratio":4.5}
-{"post_id":"nbda3w","domain":"askdocs_test","upvote_ratio":0.9,"history":"(24f) is it safe to be around someone with covid????? i know how it sounds and short answer is No but hear me out; my mom got diagnosed with covid, got quarantined for about two weeks then said she doesn\u2019t have it anymore. few days ago got diagnosed again with covid but this time she won\u2019t quarantine and she says she \u2018heard\u2019 that it\u2019s ok and safe to sit with us without a mask on even tho she has it. i\u2019m not vaccinated yet. is wearing a mask going to protect me even tho we live in the same house??","c_root_id_A":"gy1p1ce","c_root_id_B":"gy1djqx","created_at_utc_A":1620953982,"created_at_utc_B":1620948005,"score_A":7,"score_B":2,"human_ref_A":"Back when I had COVID, my state\u2019s health dept told me no to retest after my quarantine was up because there was a high probability of a false positive.","human_ref_B":"rule of thumb is, 2 days without fewer and improved symptomes after 10 days","labels":1,"seconds_difference":5977.0,"score_ratio":3.5}
-{"post_id":"nbda3w","domain":"askdocs_test","upvote_ratio":0.9,"history":"(24f) is it safe to be around someone with covid????? i know how it sounds and short answer is No but hear me out; my mom got diagnosed with covid, got quarantined for about two weeks then said she doesn\u2019t have it anymore. few days ago got diagnosed again with covid but this time she won\u2019t quarantine and she says she \u2018heard\u2019 that it\u2019s ok and safe to sit with us without a mask on even tho she has it. i\u2019m not vaccinated yet. is wearing a mask going to protect me even tho we live in the same house??","c_root_id_A":"gy1djqx","c_root_id_B":"gy1x6zt","created_at_utc_A":1620948005,"created_at_utc_B":1620958300,"score_A":2,"score_B":5,"human_ref_A":"rule of thumb is, 2 days without fewer and improved symptomes after 10 days","human_ref_B":"One of my close friends parents had covid but the rest of her family tested negative. My dad had covid but my whole family tested negative including his wife who he kissed daily and me. Covid is a really weird illness.","labels":0,"seconds_difference":10295.0,"score_ratio":2.5}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdc9y24","c_root_id_B":"gdcdn2e","created_at_utc_A":1606147358,"created_at_utc_B":1606149220,"score_A":54,"score_B":330,"human_ref_A":"Not a doctor. I suggest a doctor. Sounds like some sort of inflammatory problem or fibromyalgia. Whatever it is I think you need to see an MD.","human_ref_B":"There are a few things here that raise the alarm. It could be a collagen disorder such as Ehlers-Danlos, but the bleeding is a priority and is quite concerning for me. Please see your primary doctor with some urgency and get it checked out - I would expect a good panel of blood tests to look for anything out of the ordinary","labels":0,"seconds_difference":1862.0,"score_ratio":6.1111111111}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdchbp4","c_root_id_B":"gdc9y24","created_at_utc_A":1606151027,"created_at_utc_B":1606147358,"score_A":149,"score_B":54,"human_ref_A":"You say you don\u2019t have any diagnosed blood disorders - is that because you have previously had normal test results, or because you\u2019ve just not been tested for any?","human_ref_B":"Not a doctor. I suggest a doctor. Sounds like some sort of inflammatory problem or fibromyalgia. Whatever it is I think you need to see an MD.","labels":1,"seconds_difference":3669.0,"score_ratio":2.7592592593}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdcnj1g","c_root_id_B":"gdcq8uh","created_at_utc_A":1606154029,"created_at_utc_B":1606155324,"score_A":13,"score_B":24,"human_ref_A":"Not a doctor, but I have the EXACT same problem, along with bruises staying for weeks.  I was diagnosed with MTHFR several years ago....not that that really helps in any way, but at least I understand the WHY. If I can help answer questions or anything, let me know!","human_ref_B":"Not a doctor but this is how my fibromyalgia feels and kinda how it started. Definitely try and bring this up with your GP","labels":0,"seconds_difference":1295.0,"score_ratio":1.8461538462}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdd5vlp","c_root_id_B":"gdd8ldp","created_at_utc_A":1606162661,"created_at_utc_B":1606163954,"score_A":7,"score_B":9,"human_ref_A":"Do you take a triptan for your migraines? Triptans give me full-body sensitivity\/pain like you described. I am not a doctor.","human_ref_B":"Not a doctor, but I took methylphenidate for my ADHD too, and I had huge, wicked bruises all up and down my thighs for the time I took it, when normally I don't bruise at all. I was concerned at first, but switched ADHD meds because it wasn't quite working for me and no new ones showed up, and they disappeared. Finally looked up bruising as a side effect, and it's rare but when it kicks in its severe for those that had it.","labels":0,"seconds_difference":1293.0,"score_ratio":1.2857142857}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdczmi7","c_root_id_B":"gdd8ldp","created_at_utc_A":1606159746,"created_at_utc_B":1606163954,"score_A":3,"score_B":9,"human_ref_A":"Not a doctor, but your description sounds very similar to allodynia which I experience as part of my fibromyalgia.","human_ref_B":"Not a doctor, but I took methylphenidate for my ADHD too, and I had huge, wicked bruises all up and down my thighs for the time I took it, when normally I don't bruise at all. I was concerned at first, but switched ADHD meds because it wasn't quite working for me and no new ones showed up, and they disappeared. Finally looked up bruising as a side effect, and it's rare but when it kicks in its severe for those that had it.","labels":0,"seconds_difference":4208.0,"score_ratio":3.0}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdd5de9","c_root_id_B":"gdd8ldp","created_at_utc_A":1606162421,"created_at_utc_B":1606163954,"score_A":4,"score_B":9,"human_ref_A":"Much like every one else i implore you to go see a doctor and tell him whats going on. This is just an observation but i had a family friend who had very similar symptoms and was just found collapsed multiple times and eventually just passed cause she refuses to go to a doc, so please go to the doctor","human_ref_B":"Not a doctor, but I took methylphenidate for my ADHD too, and I had huge, wicked bruises all up and down my thighs for the time I took it, when normally I don't bruise at all. I was concerned at first, but switched ADHD meds because it wasn't quite working for me and no new ones showed up, and they disappeared. Finally looked up bruising as a side effect, and it's rare but when it kicks in its severe for those that had it.","labels":0,"seconds_difference":1533.0,"score_ratio":2.25}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdctwcd","c_root_id_B":"gdd8ldp","created_at_utc_A":1606157062,"created_at_utc_B":1606163954,"score_A":2,"score_B":9,"human_ref_A":"Not a doctor have you had your vitamin K levels checked? I have been sick and when my vitamin K levels drop, I get achy, I bruise easily, and I will bleed easily from my nostrils. It may be something to check out if you haven't already.","human_ref_B":"Not a doctor, but I took methylphenidate for my ADHD too, and I had huge, wicked bruises all up and down my thighs for the time I took it, when normally I don't bruise at all. I was concerned at first, but switched ADHD meds because it wasn't quite working for me and no new ones showed up, and they disappeared. Finally looked up bruising as a side effect, and it's rare but when it kicks in its severe for those that had it.","labels":0,"seconds_difference":6892.0,"score_ratio":4.5}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdcvqe3","c_root_id_B":"gdd8ldp","created_at_utc_A":1606157917,"created_at_utc_B":1606163954,"score_A":2,"score_B":9,"human_ref_A":"Not a doctor but I remember getting tested for Von Willebrand disease a couple of years ago when I noticed I tended to bleed a lot. It ended up being anemia for me, but based on the symptoms you\u2019ve been explaining (especially the bruising and extra bleeding), it honestly sounds like Von Willebrand, if you go to a doctor, you should consider asking to get tested for this","human_ref_B":"Not a doctor, but I took methylphenidate for my ADHD too, and I had huge, wicked bruises all up and down my thighs for the time I took it, when normally I don't bruise at all. I was concerned at first, but switched ADHD meds because it wasn't quite working for me and no new ones showed up, and they disappeared. Finally looked up bruising as a side effect, and it's rare but when it kicks in its severe for those that had it.","labels":0,"seconds_difference":6037.0,"score_ratio":4.5}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdd5vlp","c_root_id_B":"gdczmi7","created_at_utc_A":1606162661,"created_at_utc_B":1606159746,"score_A":7,"score_B":3,"human_ref_A":"Do you take a triptan for your migraines? Triptans give me full-body sensitivity\/pain like you described. I am not a doctor.","human_ref_B":"Not a doctor, but your description sounds very similar to allodynia which I experience as part of my fibromyalgia.","labels":1,"seconds_difference":2915.0,"score_ratio":2.3333333333}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdd5vlp","c_root_id_B":"gdd5de9","created_at_utc_A":1606162661,"created_at_utc_B":1606162421,"score_A":7,"score_B":4,"human_ref_A":"Do you take a triptan for your migraines? Triptans give me full-body sensitivity\/pain like you described. I am not a doctor.","human_ref_B":"Much like every one else i implore you to go see a doctor and tell him whats going on. This is just an observation but i had a family friend who had very similar symptoms and was just found collapsed multiple times and eventually just passed cause she refuses to go to a doc, so please go to the doctor","labels":1,"seconds_difference":240.0,"score_ratio":1.75}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdctwcd","c_root_id_B":"gdd5vlp","created_at_utc_A":1606157062,"created_at_utc_B":1606162661,"score_A":2,"score_B":7,"human_ref_A":"Not a doctor have you had your vitamin K levels checked? I have been sick and when my vitamin K levels drop, I get achy, I bruise easily, and I will bleed easily from my nostrils. It may be something to check out if you haven't already.","human_ref_B":"Do you take a triptan for your migraines? Triptans give me full-body sensitivity\/pain like you described. I am not a doctor.","labels":0,"seconds_difference":5599.0,"score_ratio":3.5}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdcvqe3","c_root_id_B":"gdd5vlp","created_at_utc_A":1606157917,"created_at_utc_B":1606162661,"score_A":2,"score_B":7,"human_ref_A":"Not a doctor but I remember getting tested for Von Willebrand disease a couple of years ago when I noticed I tended to bleed a lot. It ended up being anemia for me, but based on the symptoms you\u2019ve been explaining (especially the bruising and extra bleeding), it honestly sounds like Von Willebrand, if you go to a doctor, you should consider asking to get tested for this","human_ref_B":"Do you take a triptan for your migraines? Triptans give me full-body sensitivity\/pain like you described. I am not a doctor.","labels":0,"seconds_difference":4744.0,"score_ratio":3.5}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdd5de9","c_root_id_B":"gdczmi7","created_at_utc_A":1606162421,"created_at_utc_B":1606159746,"score_A":4,"score_B":3,"human_ref_A":"Much like every one else i implore you to go see a doctor and tell him whats going on. This is just an observation but i had a family friend who had very similar symptoms and was just found collapsed multiple times and eventually just passed cause she refuses to go to a doc, so please go to the doctor","human_ref_B":"Not a doctor, but your description sounds very similar to allodynia which I experience as part of my fibromyalgia.","labels":1,"seconds_difference":2675.0,"score_ratio":1.3333333333}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdczmi7","c_root_id_B":"gdctwcd","created_at_utc_A":1606159746,"created_at_utc_B":1606157062,"score_A":3,"score_B":2,"human_ref_A":"Not a doctor, but your description sounds very similar to allodynia which I experience as part of my fibromyalgia.","human_ref_B":"Not a doctor have you had your vitamin K levels checked? I have been sick and when my vitamin K levels drop, I get achy, I bruise easily, and I will bleed easily from my nostrils. It may be something to check out if you haven't already.","labels":1,"seconds_difference":2684.0,"score_ratio":1.5}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdcvqe3","c_root_id_B":"gdczmi7","created_at_utc_A":1606157917,"created_at_utc_B":1606159746,"score_A":2,"score_B":3,"human_ref_A":"Not a doctor but I remember getting tested for Von Willebrand disease a couple of years ago when I noticed I tended to bleed a lot. It ended up being anemia for me, but based on the symptoms you\u2019ve been explaining (especially the bruising and extra bleeding), it honestly sounds like Von Willebrand, if you go to a doctor, you should consider asking to get tested for this","human_ref_B":"Not a doctor, but your description sounds very similar to allodynia which I experience as part of my fibromyalgia.","labels":0,"seconds_difference":1829.0,"score_ratio":1.5}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdctwcd","c_root_id_B":"gdd5de9","created_at_utc_A":1606157062,"created_at_utc_B":1606162421,"score_A":2,"score_B":4,"human_ref_A":"Not a doctor have you had your vitamin K levels checked? I have been sick and when my vitamin K levels drop, I get achy, I bruise easily, and I will bleed easily from my nostrils. It may be something to check out if you haven't already.","human_ref_B":"Much like every one else i implore you to go see a doctor and tell him whats going on. This is just an observation but i had a family friend who had very similar symptoms and was just found collapsed multiple times and eventually just passed cause she refuses to go to a doc, so please go to the doctor","labels":0,"seconds_difference":5359.0,"score_ratio":2.0}
-{"post_id":"jzjtz9","domain":"askdocs_test","upvote_ratio":0.98,"history":"My body feels bruised but it isnt No injury. It's just tender to the touch basically everywhere. Getting dressed feels awful. This has been going on for months now. Theres no visible bruising. I dont have any diagnosed blood disorders, but I do occasionally wake up with unexplained bruises on my arms and legs and I used to bleed excessively (soaked through several towels and swallowed a LOT of blood when I got my lip pierced, cut while shaving and bled for 3 days, etc) 24f, 175 lbs, 5ft 4in I take methylphenidate, aimovig, Lamotrigine, vimpat I have migraines, epilepsy, bipolar disorder, adhd","c_root_id_A":"gdd5de9","c_root_id_B":"gdcvqe3","created_at_utc_A":1606162421,"created_at_utc_B":1606157917,"score_A":4,"score_B":2,"human_ref_A":"Much like every one else i implore you to go see a doctor and tell him whats going on. This is just an observation but i had a family friend who had very similar symptoms and was just found collapsed multiple times and eventually just passed cause she refuses to go to a doc, so please go to the doctor","human_ref_B":"Not a doctor but I remember getting tested for Von Willebrand disease a couple of years ago when I noticed I tended to bleed a lot. It ended up being anemia for me, but based on the symptoms you\u2019ve been explaining (especially the bruising and extra bleeding), it honestly sounds like Von Willebrand, if you go to a doctor, you should consider asking to get tested for this","labels":1,"seconds_difference":4504.0,"score_ratio":2.0}
-{"post_id":"cvhotb","domain":"askdocs_test","upvote_ratio":0.98,"history":"I'm having surgery tomorrow and I have recent self-harm scars, are doctors supposed to report this? Well, I'm having septoplasty surgery tomorrow and besides the general nerves I'm particularly  concerned about some self harm scars. I used to cut my arm a few years ago and I have very old white scars, but unfortunately I did go back to it once two months ago and the scars are still red-ish. I am 22 years old and my parents have never known about this, I'm scared that if my surgeon sees the recent scars she might have to report it or do something about it? Since I am an adult she can't share that information without my permission right?","c_root_id_A":"ey4du97","c_root_id_B":"ey4aca7","created_at_utc_A":1566789135,"created_at_utc_B":1566786196,"score_A":746,"score_B":106,"human_ref_A":"We are legally obligated to protect your information. The only time we can break this confidence is if you tell us you are planning on killing someone with a hammer on Wednesday night. Basically a specific intent to harm someone else. Our oath to your privacy is so strong that if you got diagnosed with a Gene for breast cancer, we are not allowed to warn your sister without your permission, even though your sister has a 50% chance of also having that Gene. Now the ethics of that, we are debating now because it goes against our second oath, to do good. But, first do no harm, so I wouldn't harm your privacy or your confidence in me.   But you should talk with your doctor about your mental health. Don't be afraid to ask for help.","human_ref_B":"We want to make sure you are safe and that you are getting treatment for your struggles and they will ask you questions to see how you are doing. Anyone working in the hospital\/healthcare, including your surgeon, is a mandated reporter, which means that they must speak with other healthcare professionals \\[with or without your permission\\] to get you help if they think you need immediate assistance. As you are an adult, they cannot disclose your medical history to anyone outside your care team without your (usually written) permission.   You do not mention it, but if you are not currently getting professional mental health treatment, you should get help as soon as possible, even though the relapse was a while ago. If you feel you are in danger of wanting to kill yourself or if you feel that a cut went too deep, please go to your nearest emergency room -- I promise that there are many people who want to help. Wishing you strength.","labels":1,"seconds_difference":2939.0,"score_ratio":7.0377358491}
-{"post_id":"cvhotb","domain":"askdocs_test","upvote_ratio":0.98,"history":"I'm having surgery tomorrow and I have recent self-harm scars, are doctors supposed to report this? Well, I'm having septoplasty surgery tomorrow and besides the general nerves I'm particularly  concerned about some self harm scars. I used to cut my arm a few years ago and I have very old white scars, but unfortunately I did go back to it once two months ago and the scars are still red-ish. I am 22 years old and my parents have never known about this, I'm scared that if my surgeon sees the recent scars she might have to report it or do something about it? Since I am an adult she can't share that information without my permission right?","c_root_id_A":"ey4du97","c_root_id_B":"ey49oo5","created_at_utc_A":1566789135,"created_at_utc_B":1566785661,"score_A":746,"score_B":38,"human_ref_A":"We are legally obligated to protect your information. The only time we can break this confidence is if you tell us you are planning on killing someone with a hammer on Wednesday night. Basically a specific intent to harm someone else. Our oath to your privacy is so strong that if you got diagnosed with a Gene for breast cancer, we are not allowed to warn your sister without your permission, even though your sister has a 50% chance of also having that Gene. Now the ethics of that, we are debating now because it goes against our second oath, to do good. But, first do no harm, so I wouldn't harm your privacy or your confidence in me.   But you should talk with your doctor about your mental health. Don't be afraid to ask for help.","human_ref_B":"My understanding is that they absolutely will not report it, especially with you being an adult (you have no guardian for information to be disclosed to). If you were a minor it\u2019s more likely, but even then it\u2019s questionable.  I\u2019m not a doctor but I was in this position when I was a minor. My doctor saw, had a conversation with me and determined I had no intention to hurt myself in any life threatening way, recommended that I tell my parents, but that was it.   Hope this helps you in some way. Good luck with your surgery and I hope that you are doing better as far as your mental health goes :)","labels":1,"seconds_difference":3474.0,"score_ratio":19.6315789474}
-{"post_id":"cvhotb","domain":"askdocs_test","upvote_ratio":0.98,"history":"I'm having surgery tomorrow and I have recent self-harm scars, are doctors supposed to report this? Well, I'm having septoplasty surgery tomorrow and besides the general nerves I'm particularly  concerned about some self harm scars. I used to cut my arm a few years ago and I have very old white scars, but unfortunately I did go back to it once two months ago and the scars are still red-ish. I am 22 years old and my parents have never known about this, I'm scared that if my surgeon sees the recent scars she might have to report it or do something about it? Since I am an adult she can't share that information without my permission right?","c_root_id_A":"ey4aca7","c_root_id_B":"ey49oo5","created_at_utc_A":1566786196,"created_at_utc_B":1566785661,"score_A":106,"score_B":38,"human_ref_A":"We want to make sure you are safe and that you are getting treatment for your struggles and they will ask you questions to see how you are doing. Anyone working in the hospital\/healthcare, including your surgeon, is a mandated reporter, which means that they must speak with other healthcare professionals \\[with or without your permission\\] to get you help if they think you need immediate assistance. As you are an adult, they cannot disclose your medical history to anyone outside your care team without your (usually written) permission.   You do not mention it, but if you are not currently getting professional mental health treatment, you should get help as soon as possible, even though the relapse was a while ago. If you feel you are in danger of wanting to kill yourself or if you feel that a cut went too deep, please go to your nearest emergency room -- I promise that there are many people who want to help. Wishing you strength.","human_ref_B":"My understanding is that they absolutely will not report it, especially with you being an adult (you have no guardian for information to be disclosed to). If you were a minor it\u2019s more likely, but even then it\u2019s questionable.  I\u2019m not a doctor but I was in this position when I was a minor. My doctor saw, had a conversation with me and determined I had no intention to hurt myself in any life threatening way, recommended that I tell my parents, but that was it.   Hope this helps you in some way. Good luck with your surgery and I hope that you are doing better as far as your mental health goes :)","labels":1,"seconds_difference":535.0,"score_ratio":2.7894736842}
-{"post_id":"u18x4w","domain":"askdocs_test","upvote_ratio":0.99,"history":"Was hospice the right decision? I\u2019m (27 f) emotionally going through the ringer here. My mom (61 f) who has been battling stage 4 breast cancer since 2015, was told 4 weeks ago her liver wasn\u2019t responding to the chemo and the tumors were increasingly growing. They quickly changed to a new chemo in hopes that it responds well to the liver tumors- but no luck. The bilirubin numbers were high, starting at 2.1, then 4.9 a a week later, and a 11.2 the following week. I was told there is nothing else we can do. No more chemo, no radiation. Her liver is failing. I asked about clinical trials, liver transplant, and immunotherapy- all which I was told she doesn\u2019t qualify for due to the Mets spread to her bones, lungs and brain as well. She had brain surgery a year ago to remove a tumor and was told she had leptomeningeal disease. But that improved with intrathecal injections + cyber knife radiation.    Hospice was the only option other than taking her home regularly with a home health aide. Which was not enough support in my opinion with her current state. I chose hospice after hearing the recommendation of two oncologists (including her regular oncologist) and 3 ER doctors. I feel guilty for choosing this option. She\u2019s at home and for the past 3 days now she\u2019s been mostly asleep. Barely speaking. I\u2019m so scared. Every time I give her morphine I feel immense guilt. I\u2019m only 27, this is a a lot. Medically, what is your advice?","c_root_id_A":"i4bugq8","c_root_id_B":"i4breqt","created_at_utc_A":1649704193,"created_at_utc_B":1649701690,"score_A":54,"score_B":46,"human_ref_A":"I am so very sorry for what you\u2019re going through. I don\u2019t have much to add. The other physicians have covered most bases. I do treat cancers. I must be honest and say having a year after leptomeningeal spread is quite astonishing. You should know that her physicians have maximized her time as much as possible. Don\u2019t ever feel guilty. Give yourself grace and find support for yourself as well. There is a whole community dedicated to cancer caregivers and it\u2019s nice to know that someone might know how you feel during this devastating time. I hope you also have a good support network.   Again, sorry for your predicament. Hoping your mother finds peace and comfort soon enough.","human_ref_B":"I treat cancer all the time. You are *absolutely* doing the right thing. The shitty thing about cancer is that sometimes you do everything right, try all the right medicines etc, and it still keeps growing relentlessly. You mom has cancer throughout her body and there are no more hopes for survival. In that case, the very best thing we can do is make our loves one\u2019s time on earth easier by focusing on pain and symptom control rather than extending life at all costs. That is exactly what hospice does.","labels":1,"seconds_difference":2503.0,"score_ratio":1.1739130435}
-{"post_id":"u18x4w","domain":"askdocs_test","upvote_ratio":0.99,"history":"Was hospice the right decision? I\u2019m (27 f) emotionally going through the ringer here. My mom (61 f) who has been battling stage 4 breast cancer since 2015, was told 4 weeks ago her liver wasn\u2019t responding to the chemo and the tumors were increasingly growing. They quickly changed to a new chemo in hopes that it responds well to the liver tumors- but no luck. The bilirubin numbers were high, starting at 2.1, then 4.9 a a week later, and a 11.2 the following week. I was told there is nothing else we can do. No more chemo, no radiation. Her liver is failing. I asked about clinical trials, liver transplant, and immunotherapy- all which I was told she doesn\u2019t qualify for due to the Mets spread to her bones, lungs and brain as well. She had brain surgery a year ago to remove a tumor and was told she had leptomeningeal disease. But that improved with intrathecal injections + cyber knife radiation.    Hospice was the only option other than taking her home regularly with a home health aide. Which was not enough support in my opinion with her current state. I chose hospice after hearing the recommendation of two oncologists (including her regular oncologist) and 3 ER doctors. I feel guilty for choosing this option. She\u2019s at home and for the past 3 days now she\u2019s been mostly asleep. Barely speaking. I\u2019m so scared. Every time I give her morphine I feel immense guilt. I\u2019m only 27, this is a a lot. Medically, what is your advice?","c_root_id_A":"i4bugq8","c_root_id_B":"i4blola","created_at_utc_A":1649704193,"created_at_utc_B":1649699530,"score_A":54,"score_B":41,"human_ref_A":"I am so very sorry for what you\u2019re going through. I don\u2019t have much to add. The other physicians have covered most bases. I do treat cancers. I must be honest and say having a year after leptomeningeal spread is quite astonishing. You should know that her physicians have maximized her time as much as possible. Don\u2019t ever feel guilty. Give yourself grace and find support for yourself as well. There is a whole community dedicated to cancer caregivers and it\u2019s nice to know that someone might know how you feel during this devastating time. I hope you also have a good support network.   Again, sorry for your predicament. Hoping your mother finds peace and comfort soon enough.","human_ref_B":"The only thing she needs now is comfort, and you\u2019re giving her that. It\u2019s still scary, I know. Families often opt for hospice care too late and allow their relative to suffer for too long - your decision was medically correct and morally unimpeachable.","labels":1,"seconds_difference":4663.0,"score_ratio":1.3170731707}
-{"post_id":"u18x4w","domain":"askdocs_test","upvote_ratio":0.99,"history":"Was hospice the right decision? I\u2019m (27 f) emotionally going through the ringer here. My mom (61 f) who has been battling stage 4 breast cancer since 2015, was told 4 weeks ago her liver wasn\u2019t responding to the chemo and the tumors were increasingly growing. They quickly changed to a new chemo in hopes that it responds well to the liver tumors- but no luck. The bilirubin numbers were high, starting at 2.1, then 4.9 a a week later, and a 11.2 the following week. I was told there is nothing else we can do. No more chemo, no radiation. Her liver is failing. I asked about clinical trials, liver transplant, and immunotherapy- all which I was told she doesn\u2019t qualify for due to the Mets spread to her bones, lungs and brain as well. She had brain surgery a year ago to remove a tumor and was told she had leptomeningeal disease. But that improved with intrathecal injections + cyber knife radiation.    Hospice was the only option other than taking her home regularly with a home health aide. Which was not enough support in my opinion with her current state. I chose hospice after hearing the recommendation of two oncologists (including her regular oncologist) and 3 ER doctors. I feel guilty for choosing this option. She\u2019s at home and for the past 3 days now she\u2019s been mostly asleep. Barely speaking. I\u2019m so scared. Every time I give her morphine I feel immense guilt. I\u2019m only 27, this is a a lot. Medically, what is your advice?","c_root_id_A":"i4breqt","c_root_id_B":"i4blola","created_at_utc_A":1649701690,"created_at_utc_B":1649699530,"score_A":46,"score_B":41,"human_ref_A":"I treat cancer all the time. You are *absolutely* doing the right thing. The shitty thing about cancer is that sometimes you do everything right, try all the right medicines etc, and it still keeps growing relentlessly. You mom has cancer throughout her body and there are no more hopes for survival. In that case, the very best thing we can do is make our loves one\u2019s time on earth easier by focusing on pain and symptom control rather than extending life at all costs. That is exactly what hospice does.","human_ref_B":"The only thing she needs now is comfort, and you\u2019re giving her that. It\u2019s still scary, I know. Families often opt for hospice care too late and allow their relative to suffer for too long - your decision was medically correct and morally unimpeachable.","labels":1,"seconds_difference":2160.0,"score_ratio":1.1219512195}
-{"post_id":"u18x4w","domain":"askdocs_test","upvote_ratio":0.99,"history":"Was hospice the right decision? I\u2019m (27 f) emotionally going through the ringer here. My mom (61 f) who has been battling stage 4 breast cancer since 2015, was told 4 weeks ago her liver wasn\u2019t responding to the chemo and the tumors were increasingly growing. They quickly changed to a new chemo in hopes that it responds well to the liver tumors- but no luck. The bilirubin numbers were high, starting at 2.1, then 4.9 a a week later, and a 11.2 the following week. I was told there is nothing else we can do. No more chemo, no radiation. Her liver is failing. I asked about clinical trials, liver transplant, and immunotherapy- all which I was told she doesn\u2019t qualify for due to the Mets spread to her bones, lungs and brain as well. She had brain surgery a year ago to remove a tumor and was told she had leptomeningeal disease. But that improved with intrathecal injections + cyber knife radiation.    Hospice was the only option other than taking her home regularly with a home health aide. Which was not enough support in my opinion with her current state. I chose hospice after hearing the recommendation of two oncologists (including her regular oncologist) and 3 ER doctors. I feel guilty for choosing this option. She\u2019s at home and for the past 3 days now she\u2019s been mostly asleep. Barely speaking. I\u2019m so scared. Every time I give her morphine I feel immense guilt. I\u2019m only 27, this is a a lot. Medically, what is your advice?","c_root_id_A":"i4cjwet","c_root_id_B":"i4ckxiu","created_at_utc_A":1649714185,"created_at_utc_B":1649714603,"score_A":5,"score_B":21,"human_ref_A":"Deciding to make that transition with my grandfather was one of the hardest things our family had ever done.  To the best of my knowledge, the best things you can do for her are provide comfort and make sure she has an open and healthy line of communication with her provider.  It sounds like you\u2019re doing everything in your power. It\u2019s very evident in your post that you care about her beyond measure. God bless.","human_ref_B":"Look up articles about dying with dignity.  Before I went into imaging, I worked on an oncology floor that did multiple trials\/experimental treatments.  Death can be hard to watch, but it also can be a beautiful last memory to have with your mother during her moments awake.  Please ask the hospice nurse to connect you to a social worker, for yourself, to help understand what all hospice entails and what the future holds - if this wasn\u2019t done in detail before she was discharged from the hospital.  Find support groups for grieving adults.  Take up a small hobby - buy a plant, learn to knit or crochet, or find some YouTube yoga videos.    Try to make videos with mom when she is awake and coherent.  Do not feel bad about giving her scheduled pain medications, or her sleeping.  If she is sleeping, she is comfortable.  Figure out family secrets.  Hold her hand.  Tell her about your day.  Turn on some of her favorite shows on TV.  Brush and style her hair (if she has any after all those treatments).    Buy her luxury sheets and pillowcases so they fee good on her skin.","labels":0,"seconds_difference":418.0,"score_ratio":4.2}
-{"post_id":"u18x4w","domain":"askdocs_test","upvote_ratio":0.99,"history":"Was hospice the right decision? I\u2019m (27 f) emotionally going through the ringer here. My mom (61 f) who has been battling stage 4 breast cancer since 2015, was told 4 weeks ago her liver wasn\u2019t responding to the chemo and the tumors were increasingly growing. They quickly changed to a new chemo in hopes that it responds well to the liver tumors- but no luck. The bilirubin numbers were high, starting at 2.1, then 4.9 a a week later, and a 11.2 the following week. I was told there is nothing else we can do. No more chemo, no radiation. Her liver is failing. I asked about clinical trials, liver transplant, and immunotherapy- all which I was told she doesn\u2019t qualify for due to the Mets spread to her bones, lungs and brain as well. She had brain surgery a year ago to remove a tumor and was told she had leptomeningeal disease. But that improved with intrathecal injections + cyber knife radiation.    Hospice was the only option other than taking her home regularly with a home health aide. Which was not enough support in my opinion with her current state. I chose hospice after hearing the recommendation of two oncologists (including her regular oncologist) and 3 ER doctors. I feel guilty for choosing this option. She\u2019s at home and for the past 3 days now she\u2019s been mostly asleep. Barely speaking. I\u2019m so scared. Every time I give her morphine I feel immense guilt. I\u2019m only 27, this is a a lot. Medically, what is your advice?","c_root_id_A":"i4dsrec","c_root_id_B":"i4cjwet","created_at_utc_A":1649733954,"created_at_utc_B":1649714185,"score_A":10,"score_B":5,"human_ref_A":"Hi I work in the ICU and I just wanted to thank you for saving your mom from all the things we do to terminally ill people in the ICU.  A huge part of my job is doing invasive procedures like inserting monitoring lines and draining fluid from people's chests and bellies.  It's so awful to have to do these things to people like your mom, whose remaining time on earth will be short no matter what we do.  Your selflessness resulted in your mom being at home, being made comfortable with medications; rather than in a place like the ICU being in pain and hooked up to multiple machines and tubes.  You definitely made the right choice.  She's lucky to have you looking out for her.  I'm so sorry you are going through this.  Try to take care of yourself.  Thinking of you.","human_ref_B":"Deciding to make that transition with my grandfather was one of the hardest things our family had ever done.  To the best of my knowledge, the best things you can do for her are provide comfort and make sure she has an open and healthy line of communication with her provider.  It sounds like you\u2019re doing everything in your power. It\u2019s very evident in your post that you care about her beyond measure. God bless.","labels":1,"seconds_difference":19769.0,"score_ratio":2.0}
-{"post_id":"c6yvb3","domain":"askdocs_test","upvote_ratio":0.88,"history":"23 average everyday male, cannot stop eating pus and anything else from my body Hi, throwaway obviously because this is really disgusting and embarrassing, but I have never been able to get answers and hoping someone can help.  &#x200B;  I am your perfectly average male, very sporty and work out a lot, have a great social life\/family\/friends\/girlfriend but what they all dont know is how much I have to eat anything from my body. Since I can every remember I have always picked and ate my own scabs, boogers, dandruff, fingernails (only when once cut), eye goop, blackheads (these are by far my favorite), eyelashes and even pubes.   &#x200B;  I am puzzled because I do not like and have no interest in consuming piss, shit, hair from anywhere except pubes, or very thick hairs like nipple hairs, semen or large amount of blood. If I get a cut I do like to lick it though or eat the scabs.  &#x200B;  This isn't something that is a treat for me, it is more like I have to eat it! I understand it is gross and I don't know why. I like the taste of all of them the texture of a chewy big blackhead it the best, but it is at a point where I don't want to have this issue. It hasn't impacted my life in anyway because I am always stealthy about it, but I know it can't be healthy.  &#x200B;  I need to do it so bad that for instance if I have a big piece of dandruff  fall that I am aware of, if I don't get to eat it I get anxious. I have eaten dandruff off of bathrooms floors (my own), desks, pretty much anywhere. Somethimes when I am studying I will shake my hair for ages until the whole desk is covered in flakes and then pick the big pieces out or like the whole desk.  &#x200B;  Sorry if this is gross but please I just want answers","c_root_id_A":"escwjlp","c_root_id_B":"esc547y","created_at_utc_A":1561840804,"created_at_utc_B":1561821210,"score_A":93,"score_B":58,"human_ref_A":"I\u2019m a psychiatrist. What you describe can be treated with medications (such as SSRIs and NAC) and Cognitive Behavior Therapy. It\u2019s actually quite common.","human_ref_B":"I work more on the mental health side, it could be dermophagia, pica, an iron deficiency causing weird cravings.","labels":1,"seconds_difference":19594.0,"score_ratio":1.6034482759}
-{"post_id":"c6yvb3","domain":"askdocs_test","upvote_ratio":0.88,"history":"23 average everyday male, cannot stop eating pus and anything else from my body Hi, throwaway obviously because this is really disgusting and embarrassing, but I have never been able to get answers and hoping someone can help.  &#x200B;  I am your perfectly average male, very sporty and work out a lot, have a great social life\/family\/friends\/girlfriend but what they all dont know is how much I have to eat anything from my body. Since I can every remember I have always picked and ate my own scabs, boogers, dandruff, fingernails (only when once cut), eye goop, blackheads (these are by far my favorite), eyelashes and even pubes.   &#x200B;  I am puzzled because I do not like and have no interest in consuming piss, shit, hair from anywhere except pubes, or very thick hairs like nipple hairs, semen or large amount of blood. If I get a cut I do like to lick it though or eat the scabs.  &#x200B;  This isn't something that is a treat for me, it is more like I have to eat it! I understand it is gross and I don't know why. I like the taste of all of them the texture of a chewy big blackhead it the best, but it is at a point where I don't want to have this issue. It hasn't impacted my life in anyway because I am always stealthy about it, but I know it can't be healthy.  &#x200B;  I need to do it so bad that for instance if I have a big piece of dandruff  fall that I am aware of, if I don't get to eat it I get anxious. I have eaten dandruff off of bathrooms floors (my own), desks, pretty much anywhere. Somethimes when I am studying I will shake my hair for ages until the whole desk is covered in flakes and then pick the big pieces out or like the whole desk.  &#x200B;  Sorry if this is gross but please I just want answers","c_root_id_A":"escwjlp","c_root_id_B":"esc2ti3","created_at_utc_A":1561840804,"created_at_utc_B":1561819528,"score_A":93,"score_B":52,"human_ref_A":"I\u2019m a psychiatrist. What you describe can be treated with medications (such as SSRIs and NAC) and Cognitive Behavior Therapy. It\u2019s actually quite common.","human_ref_B":"It\u2019s actually a bit of a reach, but iron and copper deficiency reportedly can make you have really bizarre cravings for things like that. Maybe when you go to the doctor you can ask for some labs on nutrient deficiency","labels":1,"seconds_difference":21276.0,"score_ratio":1.7884615385}
-{"post_id":"c6yvb3","domain":"askdocs_test","upvote_ratio":0.88,"history":"23 average everyday male, cannot stop eating pus and anything else from my body Hi, throwaway obviously because this is really disgusting and embarrassing, but I have never been able to get answers and hoping someone can help.  &#x200B;  I am your perfectly average male, very sporty and work out a lot, have a great social life\/family\/friends\/girlfriend but what they all dont know is how much I have to eat anything from my body. Since I can every remember I have always picked and ate my own scabs, boogers, dandruff, fingernails (only when once cut), eye goop, blackheads (these are by far my favorite), eyelashes and even pubes.   &#x200B;  I am puzzled because I do not like and have no interest in consuming piss, shit, hair from anywhere except pubes, or very thick hairs like nipple hairs, semen or large amount of blood. If I get a cut I do like to lick it though or eat the scabs.  &#x200B;  This isn't something that is a treat for me, it is more like I have to eat it! I understand it is gross and I don't know why. I like the taste of all of them the texture of a chewy big blackhead it the best, but it is at a point where I don't want to have this issue. It hasn't impacted my life in anyway because I am always stealthy about it, but I know it can't be healthy.  &#x200B;  I need to do it so bad that for instance if I have a big piece of dandruff  fall that I am aware of, if I don't get to eat it I get anxious. I have eaten dandruff off of bathrooms floors (my own), desks, pretty much anywhere. Somethimes when I am studying I will shake my hair for ages until the whole desk is covered in flakes and then pick the big pieces out or like the whole desk.  &#x200B;  Sorry if this is gross but please I just want answers","c_root_id_A":"escwjlp","c_root_id_B":"escibdb","created_at_utc_A":1561840804,"created_at_utc_B":1561830161,"score_A":93,"score_B":45,"human_ref_A":"I\u2019m a psychiatrist. What you describe can be treated with medications (such as SSRIs and NAC) and Cognitive Behavior Therapy. It\u2019s actually quite common.","human_ref_B":"I have this exact thing. I was dx w excoriation disorder, which is a type of ocd (dermatillomania\/dermatophagia, trichotillomania). I've had this since I was a child (I'm in my mid 40s) and the psychiatrist said that, in my case, it likely stemmed from the long term abuse I suffered.  Ive also been dx bipolar II, and take an antidepressant and a mood stabilizer, which helps a great deal. I've found that I can overcome the compulsion by allowing myself to only do this at a specific time and place.  It went from something I'd do multiple times a day to now something I only do when I'm very stressed (which isn't often) I also found that confiding in someone helped a lot. When I got my dx, it was like a weight off my chest and I told a close friend. I'm able to talk about it with them and the validation from another person is a huge help.  Remember, this is a real thing, many people suffer from it and you are *not* a freak.","labels":1,"seconds_difference":10643.0,"score_ratio":2.0666666667}
-{"post_id":"c6yvb3","domain":"askdocs_test","upvote_ratio":0.88,"history":"23 average everyday male, cannot stop eating pus and anything else from my body Hi, throwaway obviously because this is really disgusting and embarrassing, but I have never been able to get answers and hoping someone can help.  &#x200B;  I am your perfectly average male, very sporty and work out a lot, have a great social life\/family\/friends\/girlfriend but what they all dont know is how much I have to eat anything from my body. Since I can every remember I have always picked and ate my own scabs, boogers, dandruff, fingernails (only when once cut), eye goop, blackheads (these are by far my favorite), eyelashes and even pubes.   &#x200B;  I am puzzled because I do not like and have no interest in consuming piss, shit, hair from anywhere except pubes, or very thick hairs like nipple hairs, semen or large amount of blood. If I get a cut I do like to lick it though or eat the scabs.  &#x200B;  This isn't something that is a treat for me, it is more like I have to eat it! I understand it is gross and I don't know why. I like the taste of all of them the texture of a chewy big blackhead it the best, but it is at a point where I don't want to have this issue. It hasn't impacted my life in anyway because I am always stealthy about it, but I know it can't be healthy.  &#x200B;  I need to do it so bad that for instance if I have a big piece of dandruff  fall that I am aware of, if I don't get to eat it I get anxious. I have eaten dandruff off of bathrooms floors (my own), desks, pretty much anywhere. Somethimes when I am studying I will shake my hair for ages until the whole desk is covered in flakes and then pick the big pieces out or like the whole desk.  &#x200B;  Sorry if this is gross but please I just want answers","c_root_id_A":"escwjlp","c_root_id_B":"escrayh","created_at_utc_A":1561840804,"created_at_utc_B":1561836828,"score_A":93,"score_B":16,"human_ref_A":"I\u2019m a psychiatrist. What you describe can be treated with medications (such as SSRIs and NAC) and Cognitive Behavior Therapy. It\u2019s actually quite common.","human_ref_B":"Just want to point out that eating things that come off the body is common in many mammals (grooming). Sounds like the bigger issue is the OCD behind it. Not a doctor","labels":1,"seconds_difference":3976.0,"score_ratio":5.8125}
-{"post_id":"c6yvb3","domain":"askdocs_test","upvote_ratio":0.88,"history":"23 average everyday male, cannot stop eating pus and anything else from my body Hi, throwaway obviously because this is really disgusting and embarrassing, but I have never been able to get answers and hoping someone can help.  &#x200B;  I am your perfectly average male, very sporty and work out a lot, have a great social life\/family\/friends\/girlfriend but what they all dont know is how much I have to eat anything from my body. Since I can every remember I have always picked and ate my own scabs, boogers, dandruff, fingernails (only when once cut), eye goop, blackheads (these are by far my favorite), eyelashes and even pubes.   &#x200B;  I am puzzled because I do not like and have no interest in consuming piss, shit, hair from anywhere except pubes, or very thick hairs like nipple hairs, semen or large amount of blood. If I get a cut I do like to lick it though or eat the scabs.  &#x200B;  This isn't something that is a treat for me, it is more like I have to eat it! I understand it is gross and I don't know why. I like the taste of all of them the texture of a chewy big blackhead it the best, but it is at a point where I don't want to have this issue. It hasn't impacted my life in anyway because I am always stealthy about it, but I know it can't be healthy.  &#x200B;  I need to do it so bad that for instance if I have a big piece of dandruff  fall that I am aware of, if I don't get to eat it I get anxious. I have eaten dandruff off of bathrooms floors (my own), desks, pretty much anywhere. Somethimes when I am studying I will shake my hair for ages until the whole desk is covered in flakes and then pick the big pieces out or like the whole desk.  &#x200B;  Sorry if this is gross but please I just want answers","c_root_id_A":"escwjlp","c_root_id_B":"esc4kid","created_at_utc_A":1561840804,"created_at_utc_B":1561820822,"score_A":93,"score_B":10,"human_ref_A":"I\u2019m a psychiatrist. What you describe can be treated with medications (such as SSRIs and NAC) and Cognitive Behavior Therapy. It\u2019s actually quite common.","human_ref_B":"You need to see a psychiatrist. They can help you relax with a little medication. It will help reduce your compulsive behavior.","labels":1,"seconds_difference":19982.0,"score_ratio":9.3}
-{"post_id":"c6yvb3","domain":"askdocs_test","upvote_ratio":0.88,"history":"23 average everyday male, cannot stop eating pus and anything else from my body Hi, throwaway obviously because this is really disgusting and embarrassing, but I have never been able to get answers and hoping someone can help.  &#x200B;  I am your perfectly average male, very sporty and work out a lot, have a great social life\/family\/friends\/girlfriend but what they all dont know is how much I have to eat anything from my body. Since I can every remember I have always picked and ate my own scabs, boogers, dandruff, fingernails (only when once cut), eye goop, blackheads (these are by far my favorite), eyelashes and even pubes.   &#x200B;  I am puzzled because I do not like and have no interest in consuming piss, shit, hair from anywhere except pubes, or very thick hairs like nipple hairs, semen or large amount of blood. If I get a cut I do like to lick it though or eat the scabs.  &#x200B;  This isn't something that is a treat for me, it is more like I have to eat it! I understand it is gross and I don't know why. I like the taste of all of them the texture of a chewy big blackhead it the best, but it is at a point where I don't want to have this issue. It hasn't impacted my life in anyway because I am always stealthy about it, but I know it can't be healthy.  &#x200B;  I need to do it so bad that for instance if I have a big piece of dandruff  fall that I am aware of, if I don't get to eat it I get anxious. I have eaten dandruff off of bathrooms floors (my own), desks, pretty much anywhere. Somethimes when I am studying I will shake my hair for ages until the whole desk is covered in flakes and then pick the big pieces out or like the whole desk.  &#x200B;  Sorry if this is gross but please I just want answers","c_root_id_A":"escfomo","c_root_id_B":"escwjlp","created_at_utc_A":1561828442,"created_at_utc_B":1561840804,"score_A":10,"score_B":93,"human_ref_A":"Not a doctor, but look into \"pica.\"   >\"Pica is an eating disorder that involves eating items that are not typically thought of as food and that do not contain significant nutritional value, such as hair, dirt, and paint chips.\"   >   >\"Iron-deficiency anemia and malnutrition are two of the most common causes of pica, followed by pregnancy. In these individuals, pica is a sign that the body is trying to correct a significant nutrient deficiency. Treating this deficiency with medication or vitamins often resolves the problems.\"  I hope you can find answers! Good luck!","human_ref_B":"I\u2019m a psychiatrist. What you describe can be treated with medications (such as SSRIs and NAC) and Cognitive Behavior Therapy. It\u2019s actually quite common.","labels":0,"seconds_difference":12362.0,"score_ratio":9.3}
-{"post_id":"c6yvb3","domain":"askdocs_test","upvote_ratio":0.88,"history":"23 average everyday male, cannot stop eating pus and anything else from my body Hi, throwaway obviously because this is really disgusting and embarrassing, but I have never been able to get answers and hoping someone can help.  &#x200B;  I am your perfectly average male, very sporty and work out a lot, have a great social life\/family\/friends\/girlfriend but what they all dont know is how much I have to eat anything from my body. Since I can every remember I have always picked and ate my own scabs, boogers, dandruff, fingernails (only when once cut), eye goop, blackheads (these are by far my favorite), eyelashes and even pubes.   &#x200B;  I am puzzled because I do not like and have no interest in consuming piss, shit, hair from anywhere except pubes, or very thick hairs like nipple hairs, semen or large amount of blood. If I get a cut I do like to lick it though or eat the scabs.  &#x200B;  This isn't something that is a treat for me, it is more like I have to eat it! I understand it is gross and I don't know why. I like the taste of all of them the texture of a chewy big blackhead it the best, but it is at a point where I don't want to have this issue. It hasn't impacted my life in anyway because I am always stealthy about it, but I know it can't be healthy.  &#x200B;  I need to do it so bad that for instance if I have a big piece of dandruff  fall that I am aware of, if I don't get to eat it I get anxious. I have eaten dandruff off of bathrooms floors (my own), desks, pretty much anywhere. Somethimes when I am studying I will shake my hair for ages until the whole desk is covered in flakes and then pick the big pieces out or like the whole desk.  &#x200B;  Sorry if this is gross but please I just want answers","c_root_id_A":"escjrqk","c_root_id_B":"escwjlp","created_at_utc_A":1561831202,"created_at_utc_B":1561840804,"score_A":8,"score_B":93,"human_ref_A":"This is more psychological than physical illness. You need to see someone","human_ref_B":"I\u2019m a psychiatrist. What you describe can be treated with medications (such as SSRIs and NAC) and Cognitive Behavior Therapy. It\u2019s actually quite common.","labels":0,"seconds_difference":9602.0,"score_ratio":11.625}
-{"post_id":"c6yvb3","domain":"askdocs_test","upvote_ratio":0.88,"history":"23 average everyday male, cannot stop eating pus and anything else from my body Hi, throwaway obviously because this is really disgusting and embarrassing, but I have never been able to get answers and hoping someone can help.  &#x200B;  I am your perfectly average male, very sporty and work out a lot, have a great social life\/family\/friends\/girlfriend but what they all dont know is how much I have to eat anything from my body. Since I can every remember I have always picked and ate my own scabs, boogers, dandruff, fingernails (only when once cut), eye goop, blackheads (these are by far my favorite), eyelashes and even pubes.   &#x200B;  I am puzzled because I do not like and have no interest in consuming piss, shit, hair from anywhere except pubes, or very thick hairs like nipple hairs, semen or large amount of blood. If I get a cut I do like to lick it though or eat the scabs.  &#x200B;  This isn't something that is a treat for me, it is more like I have to eat it! I understand it is gross and I don't know why. I like the taste of all of them the texture of a chewy big blackhead it the best, but it is at a point where I don't want to have this issue. It hasn't impacted my life in anyway because I am always stealthy about it, but I know it can't be healthy.  &#x200B;  I need to do it so bad that for instance if I have a big piece of dandruff  fall that I am aware of, if I don't get to eat it I get anxious. I have eaten dandruff off of bathrooms floors (my own), desks, pretty much anywhere. Somethimes when I am studying I will shake my hair for ages until the whole desk is covered in flakes and then pick the big pieces out or like the whole desk.  &#x200B;  Sorry if this is gross but please I just want answers","c_root_id_A":"esc547y","c_root_id_B":"esc2ti3","created_at_utc_A":1561821210,"created_at_utc_B":1561819528,"score_A":58,"score_B":52,"human_ref_A":"I work more on the mental health side, it could be dermophagia, pica, an iron deficiency causing weird cravings.","human_ref_B":"It\u2019s actually a bit of a reach, but iron and copper deficiency reportedly can make you have really bizarre cravings for things like that. Maybe when you go to the doctor you can ask for some labs on nutrient deficiency","labels":1,"seconds_difference":1682.0,"score_ratio":1.1153846154}
-{"post_id":"c6yvb3","domain":"askdocs_test","upvote_ratio":0.88,"history":"23 average everyday male, cannot stop eating pus and anything else from my body Hi, throwaway obviously because this is really disgusting and embarrassing, but I have never been able to get answers and hoping someone can help.  &#x200B;  I am your perfectly average male, very sporty and work out a lot, have a great social life\/family\/friends\/girlfriend but what they all dont know is how much I have to eat anything from my body. Since I can every remember I have always picked and ate my own scabs, boogers, dandruff, fingernails (only when once cut), eye goop, blackheads (these are by far my favorite), eyelashes and even pubes.   &#x200B;  I am puzzled because I do not like and have no interest in consuming piss, shit, hair from anywhere except pubes, or very thick hairs like nipple hairs, semen or large amount of blood. If I get a cut I do like to lick it though or eat the scabs.  &#x200B;  This isn't something that is a treat for me, it is more like I have to eat it! I understand it is gross and I don't know why. I like the taste of all of them the texture of a chewy big blackhead it the best, but it is at a point where I don't want to have this issue. It hasn't impacted my life in anyway because I am always stealthy about it, but I know it can't be healthy.  &#x200B;  I need to do it so bad that for instance if I have a big piece of dandruff  fall that I am aware of, if I don't get to eat it I get anxious. I have eaten dandruff off of bathrooms floors (my own), desks, pretty much anywhere. Somethimes when I am studying I will shake my hair for ages until the whole desk is covered in flakes and then pick the big pieces out or like the whole desk.  &#x200B;  Sorry if this is gross but please I just want answers","c_root_id_A":"esc547y","c_root_id_B":"esc4kid","created_at_utc_A":1561821210,"created_at_utc_B":1561820822,"score_A":58,"score_B":10,"human_ref_A":"I work more on the mental health side, it could be dermophagia, pica, an iron deficiency causing weird cravings.","human_ref_B":"You need to see a psychiatrist. They can help you relax with a little medication. It will help reduce your compulsive behavior.","labels":1,"seconds_difference":388.0,"score_ratio":5.8}
-{"post_id":"c6yvb3","domain":"askdocs_test","upvote_ratio":0.88,"history":"23 average everyday male, cannot stop eating pus and anything else from my body Hi, throwaway obviously because this is really disgusting and embarrassing, but I have never been able to get answers and hoping someone can help.  &#x200B;  I am your perfectly average male, very sporty and work out a lot, have a great social life\/family\/friends\/girlfriend but what they all dont know is how much I have to eat anything from my body. Since I can every remember I have always picked and ate my own scabs, boogers, dandruff, fingernails (only when once cut), eye goop, blackheads (these are by far my favorite), eyelashes and even pubes.   &#x200B;  I am puzzled because I do not like and have no interest in consuming piss, shit, hair from anywhere except pubes, or very thick hairs like nipple hairs, semen or large amount of blood. If I get a cut I do like to lick it though or eat the scabs.  &#x200B;  This isn't something that is a treat for me, it is more like I have to eat it! I understand it is gross and I don't know why. I like the taste of all of them the texture of a chewy big blackhead it the best, but it is at a point where I don't want to have this issue. It hasn't impacted my life in anyway because I am always stealthy about it, but I know it can't be healthy.  &#x200B;  I need to do it so bad that for instance if I have a big piece of dandruff  fall that I am aware of, if I don't get to eat it I get anxious. I have eaten dandruff off of bathrooms floors (my own), desks, pretty much anywhere. Somethimes when I am studying I will shake my hair for ages until the whole desk is covered in flakes and then pick the big pieces out or like the whole desk.  &#x200B;  Sorry if this is gross but please I just want answers","c_root_id_A":"escibdb","c_root_id_B":"esc4kid","created_at_utc_A":1561830161,"created_at_utc_B":1561820822,"score_A":45,"score_B":10,"human_ref_A":"I have this exact thing. I was dx w excoriation disorder, which is a type of ocd (dermatillomania\/dermatophagia, trichotillomania). I've had this since I was a child (I'm in my mid 40s) and the psychiatrist said that, in my case, it likely stemmed from the long term abuse I suffered.  Ive also been dx bipolar II, and take an antidepressant and a mood stabilizer, which helps a great deal. I've found that I can overcome the compulsion by allowing myself to only do this at a specific time and place.  It went from something I'd do multiple times a day to now something I only do when I'm very stressed (which isn't often) I also found that confiding in someone helped a lot. When I got my dx, it was like a weight off my chest and I told a close friend. I'm able to talk about it with them and the validation from another person is a huge help.  Remember, this is a real thing, many people suffer from it and you are *not* a freak.","human_ref_B":"You need to see a psychiatrist. They can help you relax with a little medication. It will help reduce your compulsive behavior.","labels":1,"seconds_difference":9339.0,"score_ratio":4.5}
-{"post_id":"c6yvb3","domain":"askdocs_test","upvote_ratio":0.88,"history":"23 average everyday male, cannot stop eating pus and anything else from my body Hi, throwaway obviously because this is really disgusting and embarrassing, but I have never been able to get answers and hoping someone can help.  &#x200B;  I am your perfectly average male, very sporty and work out a lot, have a great social life\/family\/friends\/girlfriend but what they all dont know is how much I have to eat anything from my body. Since I can every remember I have always picked and ate my own scabs, boogers, dandruff, fingernails (only when once cut), eye goop, blackheads (these are by far my favorite), eyelashes and even pubes.   &#x200B;  I am puzzled because I do not like and have no interest in consuming piss, shit, hair from anywhere except pubes, or very thick hairs like nipple hairs, semen or large amount of blood. If I get a cut I do like to lick it though or eat the scabs.  &#x200B;  This isn't something that is a treat for me, it is more like I have to eat it! I understand it is gross and I don't know why. I like the taste of all of them the texture of a chewy big blackhead it the best, but it is at a point where I don't want to have this issue. It hasn't impacted my life in anyway because I am always stealthy about it, but I know it can't be healthy.  &#x200B;  I need to do it so bad that for instance if I have a big piece of dandruff  fall that I am aware of, if I don't get to eat it I get anxious. I have eaten dandruff off of bathrooms floors (my own), desks, pretty much anywhere. Somethimes when I am studying I will shake my hair for ages until the whole desk is covered in flakes and then pick the big pieces out or like the whole desk.  &#x200B;  Sorry if this is gross but please I just want answers","c_root_id_A":"escfomo","c_root_id_B":"escibdb","created_at_utc_A":1561828442,"created_at_utc_B":1561830161,"score_A":10,"score_B":45,"human_ref_A":"Not a doctor, but look into \"pica.\"   >\"Pica is an eating disorder that involves eating items that are not typically thought of as food and that do not contain significant nutritional value, such as hair, dirt, and paint chips.\"   >   >\"Iron-deficiency anemia and malnutrition are two of the most common causes of pica, followed by pregnancy. In these individuals, pica is a sign that the body is trying to correct a significant nutrient deficiency. Treating this deficiency with medication or vitamins often resolves the problems.\"  I hope you can find answers! Good luck!","human_ref_B":"I have this exact thing. I was dx w excoriation disorder, which is a type of ocd (dermatillomania\/dermatophagia, trichotillomania). I've had this since I was a child (I'm in my mid 40s) and the psychiatrist said that, in my case, it likely stemmed from the long term abuse I suffered.  Ive also been dx bipolar II, and take an antidepressant and a mood stabilizer, which helps a great deal. I've found that I can overcome the compulsion by allowing myself to only do this at a specific time and place.  It went from something I'd do multiple times a day to now something I only do when I'm very stressed (which isn't often) I also found that confiding in someone helped a lot. When I got my dx, it was like a weight off my chest and I told a close friend. I'm able to talk about it with them and the validation from another person is a huge help.  Remember, this is a real thing, many people suffer from it and you are *not* a freak.","labels":0,"seconds_difference":1719.0,"score_ratio":4.5}
-{"post_id":"c6yvb3","domain":"askdocs_test","upvote_ratio":0.88,"history":"23 average everyday male, cannot stop eating pus and anything else from my body Hi, throwaway obviously because this is really disgusting and embarrassing, but I have never been able to get answers and hoping someone can help.  &#x200B;  I am your perfectly average male, very sporty and work out a lot, have a great social life\/family\/friends\/girlfriend but what they all dont know is how much I have to eat anything from my body. Since I can every remember I have always picked and ate my own scabs, boogers, dandruff, fingernails (only when once cut), eye goop, blackheads (these are by far my favorite), eyelashes and even pubes.   &#x200B;  I am puzzled because I do not like and have no interest in consuming piss, shit, hair from anywhere except pubes, or very thick hairs like nipple hairs, semen or large amount of blood. If I get a cut I do like to lick it though or eat the scabs.  &#x200B;  This isn't something that is a treat for me, it is more like I have to eat it! I understand it is gross and I don't know why. I like the taste of all of them the texture of a chewy big blackhead it the best, but it is at a point where I don't want to have this issue. It hasn't impacted my life in anyway because I am always stealthy about it, but I know it can't be healthy.  &#x200B;  I need to do it so bad that for instance if I have a big piece of dandruff  fall that I am aware of, if I don't get to eat it I get anxious. I have eaten dandruff off of bathrooms floors (my own), desks, pretty much anywhere. Somethimes when I am studying I will shake my hair for ages until the whole desk is covered in flakes and then pick the big pieces out or like the whole desk.  &#x200B;  Sorry if this is gross but please I just want answers","c_root_id_A":"esc4kid","c_root_id_B":"escrayh","created_at_utc_A":1561820822,"created_at_utc_B":1561836828,"score_A":10,"score_B":16,"human_ref_A":"You need to see a psychiatrist. They can help you relax with a little medication. It will help reduce your compulsive behavior.","human_ref_B":"Just want to point out that eating things that come off the body is common in many mammals (grooming). Sounds like the bigger issue is the OCD behind it. Not a doctor","labels":0,"seconds_difference":16006.0,"score_ratio":1.6}
-{"post_id":"c6yvb3","domain":"askdocs_test","upvote_ratio":0.88,"history":"23 average everyday male, cannot stop eating pus and anything else from my body Hi, throwaway obviously because this is really disgusting and embarrassing, but I have never been able to get answers and hoping someone can help.  &#x200B;  I am your perfectly average male, very sporty and work out a lot, have a great social life\/family\/friends\/girlfriend but what they all dont know is how much I have to eat anything from my body. Since I can every remember I have always picked and ate my own scabs, boogers, dandruff, fingernails (only when once cut), eye goop, blackheads (these are by far my favorite), eyelashes and even pubes.   &#x200B;  I am puzzled because I do not like and have no interest in consuming piss, shit, hair from anywhere except pubes, or very thick hairs like nipple hairs, semen or large amount of blood. If I get a cut I do like to lick it though or eat the scabs.  &#x200B;  This isn't something that is a treat for me, it is more like I have to eat it! I understand it is gross and I don't know why. I like the taste of all of them the texture of a chewy big blackhead it the best, but it is at a point where I don't want to have this issue. It hasn't impacted my life in anyway because I am always stealthy about it, but I know it can't be healthy.  &#x200B;  I need to do it so bad that for instance if I have a big piece of dandruff  fall that I am aware of, if I don't get to eat it I get anxious. I have eaten dandruff off of bathrooms floors (my own), desks, pretty much anywhere. Somethimes when I am studying I will shake my hair for ages until the whole desk is covered in flakes and then pick the big pieces out or like the whole desk.  &#x200B;  Sorry if this is gross but please I just want answers","c_root_id_A":"escrayh","c_root_id_B":"escfomo","created_at_utc_A":1561836828,"created_at_utc_B":1561828442,"score_A":16,"score_B":10,"human_ref_A":"Just want to point out that eating things that come off the body is common in many mammals (grooming). Sounds like the bigger issue is the OCD behind it. Not a doctor","human_ref_B":"Not a doctor, but look into \"pica.\"   >\"Pica is an eating disorder that involves eating items that are not typically thought of as food and that do not contain significant nutritional value, such as hair, dirt, and paint chips.\"   >   >\"Iron-deficiency anemia and malnutrition are two of the most common causes of pica, followed by pregnancy. In these individuals, pica is a sign that the body is trying to correct a significant nutrient deficiency. Treating this deficiency with medication or vitamins often resolves the problems.\"  I hope you can find answers! Good luck!","labels":1,"seconds_difference":8386.0,"score_ratio":1.6}
-{"post_id":"c6yvb3","domain":"askdocs_test","upvote_ratio":0.88,"history":"23 average everyday male, cannot stop eating pus and anything else from my body Hi, throwaway obviously because this is really disgusting and embarrassing, but I have never been able to get answers and hoping someone can help.  &#x200B;  I am your perfectly average male, very sporty and work out a lot, have a great social life\/family\/friends\/girlfriend but what they all dont know is how much I have to eat anything from my body. Since I can every remember I have always picked and ate my own scabs, boogers, dandruff, fingernails (only when once cut), eye goop, blackheads (these are by far my favorite), eyelashes and even pubes.   &#x200B;  I am puzzled because I do not like and have no interest in consuming piss, shit, hair from anywhere except pubes, or very thick hairs like nipple hairs, semen or large amount of blood. If I get a cut I do like to lick it though or eat the scabs.  &#x200B;  This isn't something that is a treat for me, it is more like I have to eat it! I understand it is gross and I don't know why. I like the taste of all of them the texture of a chewy big blackhead it the best, but it is at a point where I don't want to have this issue. It hasn't impacted my life in anyway because I am always stealthy about it, but I know it can't be healthy.  &#x200B;  I need to do it so bad that for instance if I have a big piece of dandruff  fall that I am aware of, if I don't get to eat it I get anxious. I have eaten dandruff off of bathrooms floors (my own), desks, pretty much anywhere. Somethimes when I am studying I will shake my hair for ages until the whole desk is covered in flakes and then pick the big pieces out or like the whole desk.  &#x200B;  Sorry if this is gross but please I just want answers","c_root_id_A":"escrayh","c_root_id_B":"escjrqk","created_at_utc_A":1561836828,"created_at_utc_B":1561831202,"score_A":16,"score_B":8,"human_ref_A":"Just want to point out that eating things that come off the body is common in many mammals (grooming). Sounds like the bigger issue is the OCD behind it. Not a doctor","human_ref_B":"This is more psychological than physical illness. You need to see someone","labels":1,"seconds_difference":5626.0,"score_ratio":2.0}
-{"post_id":"k84ryu","domain":"askdocs_test","upvote_ratio":1.0,"history":"Blue Whale plushie update. RIP Robert. \u2764\ufe0f Link to the plushie I made for Robert!  Robert\u2019s original post on r\/AskDocs.  Hi everyone!  A few weeks ago, Robert made a post on r\/AskDocs looking for answers about palliative care in a hospice setting. I was moved by his resignation, the hopelessness of the situation, and the fact that he was going to die alone. I felt, and still feel, like nobody should have to depart this world feeling so alone and unloved. I\u2019m sure many of you were touched similarly by his posts. I had started sewing plushies to keep my hands and mind busy whilst recovering from a mental health relapse. I offered to make Robert a plushie to remind him that he is loved, and also to give him a little comfort as he passed.   Unfortunately, Robert\u2019s condition took a turn for the worse, and he was unable to accept my plushie. He told me his favorite animal, and instructed me to make it anyway and treasure it.  So, here it is, Robert\u2019s blue whale. His legacy will live on at least in this plushie. \u2764\ufe0f  Sorry if this post breaks the rules. So many of you wanted to see the plushie when it was finished and I didn\u2019t know another way to reach out to all of you.   RIP.","c_root_id_A":"gf5mqd5","c_root_id_B":"gf3uyy8","created_at_utc_A":1607510438,"created_at_utc_B":1607469586,"score_A":4,"score_B":2,"human_ref_A":"Beautiful plushie. Stay awesome, OP. Rest in peace, Robert.","human_ref_B":"It's absolutely lovely. I remember reading his posts, and how even at the end of his life he cared for others and gave good advice. Hugs to all who want them.","labels":1,"seconds_difference":40852.0,"score_ratio":2.0}
-{"post_id":"zq0gte","domain":"askdocs_test","upvote_ratio":0.91,"history":"Should I be worried about my nurse practitioner's competence? Female, 29, 5'8\" 160lbs, Anxiety and PMDD, on Jenel and some anxiety meds  I recently moved to a small town and the only appointment I could get was with a nurse practitioner. My appointment came around last week and when I was telling her about my medical history she needed me to stop and explain PMDD to her. She had never heard of it. I thought this was strange and I've never had this issue with a medical professional before, but if that was the only problem I wouldn't be posting here.  I'm on Jenel to manage my PMDD. Without it, my periods cause truly severe pain that make me unable to move or sleep for several days every month. When the pharmacy mailed me my prescription on Saturday all of my medications were there except the Jenel. She hadn't ordered them for me. She knew I'm leaving the country for vacation tomorrow and there's an entire prescription she didn't order for me and I ended up having to jump through hoops to get them this morning.  She also made an off-hand comment that made me think she might be anti-vaccine. When I mentioned I was travelling she said \"I wish I could go, but they want me to be vaccinated.\"  Should I be concerned about this?","c_root_id_A":"j0wigwl","c_root_id_B":"j0x4qto","created_at_utc_A":1671490868,"created_at_utc_B":1671500878,"score_A":190,"score_B":351,"human_ref_A":"I don't see midlevels for my care.  I tell my friends and family not to either.  It's shockingly controversial, but I think our years of education and training as physicians are valuable and important.  Some NPs are competent to manage whatever issue you might have.  But this extremely hit or miss, and minimum training requirements are frightening.  Your NP may have worked in an ortho clinic for several years, and have no relevant experience in primary care.  There's nothing that really dictates they have to have expertise in whatever field they choose to work in, and they can change that field on a whim.  You have no idea what you're dealing with unless you do a bunch of sleuthing or have inside knowledge of who this person is and what their level of competence is.","human_ref_B":"If you are explaining the disease to the person who's supposed to treat it, something is very wrong","labels":0,"seconds_difference":10010.0,"score_ratio":1.8473684211}
-{"post_id":"zzmu2v","domain":"askdocs_test","upvote_ratio":0.99,"history":"Can anyone please help me get answers? my doctors arent helping me and ive been struggling since i was 15 I am female, 19, 5'6, 136 pounds  (2019) One week when I was 15 In the fall I began having issues pooping, this was weird because id NEVER had issues pooping before and always had a big healthy poop every 1\/2 days. I was being late to school because id spend so much time straining in the morning. I told my parents that week that i hadnt been able to poop all week and they made me a black coffee with coconut oil. it kind of helped, but the constipation continued despite no change in my life style.  I was taken to the doctor around december and even though i was drinking plenty of water, i had a smoothie before the appointment so my pee was more yellow than usual, and the doctor just rubbed it off as me needing to drink more water.  (2020) I continued for about a year only pooping once a week, and needing a laxative to do so. I started getting extremely bloated and not wanting to eat or even drink water because i felt so full and it hurt.  I ended up waking up one day extremely nauceous and threw up, and i threw everything since my lunch from the previous day completely undigested.  This cycle continued where id be constipated all week, get sick and throw up undigested food at the end and use a laxative as an emergency. I was taken to the doctor again and she told me I need to eat more (even though I was eating a normal amount, a pretty equal and balanced diet actually)  I was at my massage therapist and told her about my issues and that it hurt to lay on my stomach, she started feeling my stomach and gut and told me that she felt some sort of mass in my gut and tried to gently massage it, but told me to go to the doctor and demand answers.  (2021) I was taken to the doctor and this one actually listened, she had me do an x ray and they found that I was full of poop, pushing on my organs, making me llook bigger, and pushing on my lungs as well, all the way up to my lungs was poop build up. The doctor was extremely bothered that none of the doctors before me paid attention to my complaints and said this was extremely dangerous. They said it seemed like my digestive system wasnt working properly\/failed  They planned another visit for me to have testing done, but till then had me to a colonoscopy prep(for 7 days) to empty my bowls so that the medical risk went down. I was so excited to finally get relief  Nothing happened  About 3 days in of taking 7 laxatives a day i got a little but of diareah, but it was like it was leaking around it and not actually emptying it out. It was a normal amount.  When i finally got the test done, they said that my bowel muscles seemed to be working fine and that they wernt sure what was wrong, they told me to not eat much and try to drink mainly liquids till they could figure out the problem, but they just never followed up?? So eventually i started eating normal again.  Ive since moved and am not with my parents doctor anymore, but the constipation has only gotten worse. Everytime i poop i need to strain so hard and almost always bleed feel my anus tearing no matter how small it is. Sometimes 1 tiny circle poop comes out and abunch of blood and blood clots\/clumps is a majority of whats in the toilet and it gets everywhere.  Another thing i noticed is that the non tiny poops\/normal ones are extremely too big for the hole, and almost flat, so the hole cant gradually expand to let it out, like a cone shape. If the hole is 1 inch open the base of the poop is 2 1\/2 inches or more.  pooping makes my body so sore and shakey and it covers the toilet and my hands in blood. I tried to get help with medicaid but they said because i was moving states soon they couldnt help me.  Does anyone know what this might be?","c_root_id_A":"j2dvgub","c_root_id_B":"j2eix3a","created_at_utc_A":1672499458,"created_at_utc_B":1672509249,"score_A":15,"score_B":40,"human_ref_A":"You should follow up with the doctor that did your colonoscopy.","human_ref_B":"Get all your previous medical records and find a gastroenterologist.","labels":0,"seconds_difference":9791.0,"score_ratio":2.6666666667}
-{"post_id":"dhh2yb","domain":"askdocs_test","upvote_ratio":0.96,"history":"My wife has been sick for the past few months and doctor s don't have any answers for us (long post) Please help us. (Long post ahead but totally desperate)   Hi, I'm writing this on behalf of my wife, partly because I'm at my wit's end with what happened to her, she doesn't have Reddit.\u00a0   Background- My wife is 27, female, white and was relatively healthy. Only a few problems with her back pain and migraines since she was young.   About seven months ago my wife started to complain about chest pain. She also started having much more intense headaches. She has always suffered from migraines but these became so much worse. She was seen for the pain in her chest in March, they did a breast exam and said she looked fine. They told her to take a new RX when she felt a headache coming on. The medicine did absolutely nothing. The headaches continued to escalate. And the chest's pain got worse over the next few months.   In June, while I was at work, My wife lost consciousness fell and hit her head and remembered nothing of what happened. She lost control of her bladder and threw up on herself. We rushed to the Urgent Care. They told her her heart and blood work looked fine. And sent her home. It happened again within 24 hrs. And it got to the point her she was 'blacking out' every hour. Finally it got so bad we took her to the emergency room. They did and MRI of her head and an EKG. The results were normal with no signs of seizures. A doctor came in the room at the hospital and told my wife, it was all in her head. And (this is a real quote) 'if she thinks happy thoughts and makes herself happy the problem will go away'.   She was so traumatized by this experience that she refused to go see more doctors for the next three months. Even though her symptoms got so much worse.   She was unable to keep up at work and was forced to step down (her boss is like a father to her and he was understanding but insisted). She continued to black out at least 4 times a day. She became so fatigued that she could barely leave the house without blacking out. She developed more severe chest pain and with it shortness in breath. Her headaches became so severe that she started to punch things, banging her head against the wall, scream and yell and kick. They last for about three hours at a time. We tried oxygen and it did help! But doctors refuse to give her an oxygen tank to keep on hand.   Finally in September it had gotten so bad that she got a new primary care doctor. The doctor tested for a blood clot and did a CT scan of her chest. These came back normal,except for an elevated de dimer (I think this is how you spell it). She also wore a holt monitor and they said there was nothing unusual about her heart. This doctor wouldn't help with the headaches and sent her to a neurologist. It was going to take 16 weeks to get in. She decided to see a new neurologist that she hasn't seen before because she was seen by one she didn't feel was helpful. We still have nearly 5 weeks to wait for this appointment. (It was made the first week in September)   She has only gotten worse since September. She now sleeps 12-15 hrs a day and can hardly do the things she needs to do even when she tries. She blacks out every single day at least 4 times. Today for example she blacked out 6 times before noon. Sometimes she will now be unconscious but able to walk around. Leaving our apartment and wandering and waking up with no memory of how she got there. She can and does hit her head, face, legs, arms and back as she falls.   She has intermittent fevers that last for about half a day at a time. She loses vision in her left eye for hours at a time. She becomes delusional and will forget where she is, who she is talking to, things that have been said\/ that haven't been said.   Every day now she is in pain on some or all of her joints. Knees and and forearm in particular. Keeping her awake at night and from exercising. Also shortness of breath doesn't help. Her hair is falling out in chunks. (You should see the shower, it's gross.) She gets weird rashes all over her body. Especially the face. She is getting sores in her mouth, and now barely eats. And of course headaches.   We have tried different vitamins recommended by the doctor. We have tried to go see other specialist (Endocrinologists, rheumatologist... etc) but her PCP refuses without hard evidence. She is not on any medication, except birth control. And when she needs it an anxiety medication, but she doesn't take it very much.   I give her Tylenol for headaches and pain but it hardly works. She does take edibles (marijuana) for the pain now because it's the only thing that seems to help. I should\u00a0 also mention that my wife has gone to therapy every two weeks since May, since they told her it was all in her head. She has put in the work and does and listens to her therapist. I can't leave her alone during the day for fear she will fall and hit her head again, or worse wander out into the street.   I'm at a loss. And apparently the doctors are too. No one seems to care because she is normal looking and young.   Is there something they are missing? What else can we try? Is there something we should demand of the doctors? Anything will help, I'm seriously desperate.","c_root_id_A":"f3o8vb0","c_root_id_B":"f3nyqa9","created_at_utc_A":1571011441,"created_at_utc_B":1571004103,"score_A":5,"score_B":4,"human_ref_A":"Has she been checked for lupus and other autoimmune stuff ? Not a dr","human_ref_B":"This is so sad. Hope you two find an answer soon.","labels":1,"seconds_difference":7338.0,"score_ratio":1.25}
-{"post_id":"dhh2yb","domain":"askdocs_test","upvote_ratio":0.96,"history":"My wife has been sick for the past few months and doctor s don't have any answers for us (long post) Please help us. (Long post ahead but totally desperate)   Hi, I'm writing this on behalf of my wife, partly because I'm at my wit's end with what happened to her, she doesn't have Reddit.\u00a0   Background- My wife is 27, female, white and was relatively healthy. Only a few problems with her back pain and migraines since she was young.   About seven months ago my wife started to complain about chest pain. She also started having much more intense headaches. She has always suffered from migraines but these became so much worse. She was seen for the pain in her chest in March, they did a breast exam and said she looked fine. They told her to take a new RX when she felt a headache coming on. The medicine did absolutely nothing. The headaches continued to escalate. And the chest's pain got worse over the next few months.   In June, while I was at work, My wife lost consciousness fell and hit her head and remembered nothing of what happened. She lost control of her bladder and threw up on herself. We rushed to the Urgent Care. They told her her heart and blood work looked fine. And sent her home. It happened again within 24 hrs. And it got to the point her she was 'blacking out' every hour. Finally it got so bad we took her to the emergency room. They did and MRI of her head and an EKG. The results were normal with no signs of seizures. A doctor came in the room at the hospital and told my wife, it was all in her head. And (this is a real quote) 'if she thinks happy thoughts and makes herself happy the problem will go away'.   She was so traumatized by this experience that she refused to go see more doctors for the next three months. Even though her symptoms got so much worse.   She was unable to keep up at work and was forced to step down (her boss is like a father to her and he was understanding but insisted). She continued to black out at least 4 times a day. She became so fatigued that she could barely leave the house without blacking out. She developed more severe chest pain and with it shortness in breath. Her headaches became so severe that she started to punch things, banging her head against the wall, scream and yell and kick. They last for about three hours at a time. We tried oxygen and it did help! But doctors refuse to give her an oxygen tank to keep on hand.   Finally in September it had gotten so bad that she got a new primary care doctor. The doctor tested for a blood clot and did a CT scan of her chest. These came back normal,except for an elevated de dimer (I think this is how you spell it). She also wore a holt monitor and they said there was nothing unusual about her heart. This doctor wouldn't help with the headaches and sent her to a neurologist. It was going to take 16 weeks to get in. She decided to see a new neurologist that she hasn't seen before because she was seen by one she didn't feel was helpful. We still have nearly 5 weeks to wait for this appointment. (It was made the first week in September)   She has only gotten worse since September. She now sleeps 12-15 hrs a day and can hardly do the things she needs to do even when she tries. She blacks out every single day at least 4 times. Today for example she blacked out 6 times before noon. Sometimes she will now be unconscious but able to walk around. Leaving our apartment and wandering and waking up with no memory of how she got there. She can and does hit her head, face, legs, arms and back as she falls.   She has intermittent fevers that last for about half a day at a time. She loses vision in her left eye for hours at a time. She becomes delusional and will forget where she is, who she is talking to, things that have been said\/ that haven't been said.   Every day now she is in pain on some or all of her joints. Knees and and forearm in particular. Keeping her awake at night and from exercising. Also shortness of breath doesn't help. Her hair is falling out in chunks. (You should see the shower, it's gross.) She gets weird rashes all over her body. Especially the face. She is getting sores in her mouth, and now barely eats. And of course headaches.   We have tried different vitamins recommended by the doctor. We have tried to go see other specialist (Endocrinologists, rheumatologist... etc) but her PCP refuses without hard evidence. She is not on any medication, except birth control. And when she needs it an anxiety medication, but she doesn't take it very much.   I give her Tylenol for headaches and pain but it hardly works. She does take edibles (marijuana) for the pain now because it's the only thing that seems to help. I should\u00a0 also mention that my wife has gone to therapy every two weeks since May, since they told her it was all in her head. She has put in the work and does and listens to her therapist. I can't leave her alone during the day for fear she will fall and hit her head again, or worse wander out into the street.   I'm at a loss. And apparently the doctors are too. No one seems to care because she is normal looking and young.   Is there something they are missing? What else can we try? Is there something we should demand of the doctors? Anything will help, I'm seriously desperate.","c_root_id_A":"f3o8rs4","c_root_id_B":"f3o8vb0","created_at_utc_A":1571011363,"created_at_utc_B":1571011441,"score_A":3,"score_B":5,"human_ref_A":"Not a doctor. Has your wife ever been checked for lupus or other autoimmune issues? A lot of the symptoms you describe towards the end sounds a lot like what I deal with.","human_ref_B":"Has she been checked for lupus and other autoimmune stuff ? Not a dr","labels":0,"seconds_difference":78.0,"score_ratio":1.6666666667}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhfi4z","c_root_id_B":"fdh8nsz","created_at_utc_A":1578421554,"created_at_utc_B":1578417779,"score_A":83,"score_B":49,"human_ref_A":"This sounds like an issue with being obsessed with cleanliness and not a gastrointestinal disorder.","human_ref_B":"So firstly, get a bidet. It will save you so much money and time, and will likely help with the specs too.  Edit: you can get ones that attach to the toilet for like $50 on Amazon.","labels":1,"seconds_difference":3775.0,"score_ratio":1.693877551}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhfi4z","c_root_id_B":"fdhdanm","created_at_utc_A":1578421554,"created_at_utc_B":1578420315,"score_A":83,"score_B":42,"human_ref_A":"This sounds like an issue with being obsessed with cleanliness and not a gastrointestinal disorder.","human_ref_B":"Not a doctor. But I would just like to say, you discounted it being psychological because there are physical symptoms. However, psychological issues such as anxiety - particularly health anxiety - very commonly manifest all sorts of physical symptoms. Please don\u2019t underestimate this, or what it can create within your body. Continue pursuing physical doctors by all means, but please also look at getting her CBT. It\u2019s been instrumental for me in getting over my health anxiety and the physical symptoms that come with it.","labels":1,"seconds_difference":1239.0,"score_ratio":1.9761904762}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhb5sl","c_root_id_B":"fdhfi4z","created_at_utc_A":1578419230,"created_at_utc_B":1578421554,"score_A":21,"score_B":83,"human_ref_A":"i would just like to point out that you ruled out ibs due to one symptom not matching. often times, you can't rule out a disease unless the symptom(s), is\/are pathognomonic. you can present with a wide variety of symptoms with ibs.","human_ref_B":"This sounds like an issue with being obsessed with cleanliness and not a gastrointestinal disorder.","labels":0,"seconds_difference":2324.0,"score_ratio":3.9523809524}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhamg9","c_root_id_B":"fdhfi4z","created_at_utc_A":1578418945,"created_at_utc_B":1578421554,"score_A":8,"score_B":83,"human_ref_A":"I wonder if the not sitting on the toilet seat is causing some of the problems.  Her body might not be able to evacuate properly, so having a knock on effect to the problem.  I vaguely remember something about putting toilet paper around the seat encourages bacteria.  Maybe after each use, use a anti bac bathroom wipe on the seat.  So she has peace of mind there.  Also when booking a gp appointment request a double appointment slot.  Then you have more time to discuss it, also write all symptoms down as a cue sheet for you.  I know with my health issues my doctor is happier to see that I have it written down than me saying I know there is something else but cannot remember.  Good luck, hope you find an answer","human_ref_B":"This sounds like an issue with being obsessed with cleanliness and not a gastrointestinal disorder.","labels":0,"seconds_difference":2609.0,"score_ratio":10.375}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhfi4z","c_root_id_B":"fdh52sa","created_at_utc_A":1578421554,"created_at_utc_B":1578415553,"score_A":83,"score_B":4,"human_ref_A":"This sounds like an issue with being obsessed with cleanliness and not a gastrointestinal disorder.","human_ref_B":"Not a doctor, but just came here to tell you you are awesome.  Has she been tested for celiac disease? It can cause a myriad of different things to happen to the body.","labels":1,"seconds_difference":6001.0,"score_ratio":20.75}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhlp84","c_root_id_B":"fdh8nsz","created_at_utc_A":1578425306,"created_at_utc_B":1578417779,"score_A":50,"score_B":49,"human_ref_A":"Psychiatrist for Obsessive Compulsive Disorder. Second opinion for anal leakage. In that order.","human_ref_B":"So firstly, get a bidet. It will save you so much money and time, and will likely help with the specs too.  Edit: you can get ones that attach to the toilet for like $50 on Amazon.","labels":1,"seconds_difference":7527.0,"score_ratio":1.0204081633}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdh8nsz","c_root_id_B":"fdh52sa","created_at_utc_A":1578417779,"created_at_utc_B":1578415553,"score_A":49,"score_B":4,"human_ref_A":"So firstly, get a bidet. It will save you so much money and time, and will likely help with the specs too.  Edit: you can get ones that attach to the toilet for like $50 on Amazon.","human_ref_B":"Not a doctor, but just came here to tell you you are awesome.  Has she been tested for celiac disease? It can cause a myriad of different things to happen to the body.","labels":1,"seconds_difference":2226.0,"score_ratio":12.25}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhlp84","c_root_id_B":"fdhdanm","created_at_utc_A":1578425306,"created_at_utc_B":1578420315,"score_A":50,"score_B":42,"human_ref_A":"Psychiatrist for Obsessive Compulsive Disorder. Second opinion for anal leakage. In that order.","human_ref_B":"Not a doctor. But I would just like to say, you discounted it being psychological because there are physical symptoms. However, psychological issues such as anxiety - particularly health anxiety - very commonly manifest all sorts of physical symptoms. Please don\u2019t underestimate this, or what it can create within your body. Continue pursuing physical doctors by all means, but please also look at getting her CBT. It\u2019s been instrumental for me in getting over my health anxiety and the physical symptoms that come with it.","labels":1,"seconds_difference":4991.0,"score_ratio":1.1904761905}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhlp84","c_root_id_B":"fdhb5sl","created_at_utc_A":1578425306,"created_at_utc_B":1578419230,"score_A":50,"score_B":21,"human_ref_A":"Psychiatrist for Obsessive Compulsive Disorder. Second opinion for anal leakage. In that order.","human_ref_B":"i would just like to point out that you ruled out ibs due to one symptom not matching. often times, you can't rule out a disease unless the symptom(s), is\/are pathognomonic. you can present with a wide variety of symptoms with ibs.","labels":1,"seconds_difference":6076.0,"score_ratio":2.380952381}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhamg9","c_root_id_B":"fdhlp84","created_at_utc_A":1578418945,"created_at_utc_B":1578425306,"score_A":8,"score_B":50,"human_ref_A":"I wonder if the not sitting on the toilet seat is causing some of the problems.  Her body might not be able to evacuate properly, so having a knock on effect to the problem.  I vaguely remember something about putting toilet paper around the seat encourages bacteria.  Maybe after each use, use a anti bac bathroom wipe on the seat.  So she has peace of mind there.  Also when booking a gp appointment request a double appointment slot.  Then you have more time to discuss it, also write all symptoms down as a cue sheet for you.  I know with my health issues my doctor is happier to see that I have it written down than me saying I know there is something else but cannot remember.  Good luck, hope you find an answer","human_ref_B":"Psychiatrist for Obsessive Compulsive Disorder. Second opinion for anal leakage. In that order.","labels":0,"seconds_difference":6361.0,"score_ratio":6.25}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdh52sa","c_root_id_B":"fdhlp84","created_at_utc_A":1578415553,"created_at_utc_B":1578425306,"score_A":4,"score_B":50,"human_ref_A":"Not a doctor, but just came here to tell you you are awesome.  Has she been tested for celiac disease? It can cause a myriad of different things to happen to the body.","human_ref_B":"Psychiatrist for Obsessive Compulsive Disorder. Second opinion for anal leakage. In that order.","labels":0,"seconds_difference":9753.0,"score_ratio":12.5}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhlp84","c_root_id_B":"fdhhmqs","created_at_utc_A":1578425306,"created_at_utc_B":1578422830,"score_A":50,"score_B":4,"human_ref_A":"Psychiatrist for Obsessive Compulsive Disorder. Second opinion for anal leakage. In that order.","human_ref_B":"Not a doctor, but see a specialist (proctologist). I have IBS(-D) and that caused a slew of other problems. The doc told me to stop using wet wipes as they can cause micro tears on all that sensitive skin (which it was, very burn-y). Ended up with hemorrhoids for awhile, eventually had a fissure that eventually turned into an abscess with a fistula. I say all this because at the fistula stage I had all sorts of weird discharge happening, plus extreme fatigue. It didn\u2019t really hurt at that point (until I had surgery, but it got better).   See the doctor, keep a food diary\u2014mine had me follow the FOD-MAP chart to see if that helped. Stay hydrated for sure. Good luck, I hope you all find a solution soon.","labels":1,"seconds_difference":2476.0,"score_ratio":12.5}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhfz9d","c_root_id_B":"fdhlp84","created_at_utc_A":1578421835,"created_at_utc_B":1578425306,"score_A":2,"score_B":50,"human_ref_A":"Not a doctor IDK about the main issue, but as far as having to go #1 all the time, being overweight, poor eating habits, and laying around on the couch (suggesting fatigue), leads me to wonder about diabetes or prediabetes. At least her blood sugar should be tested to rule that out as well. Glucometers are cheap, or a doctor could do it.","human_ref_B":"Psychiatrist for Obsessive Compulsive Disorder. Second opinion for anal leakage. In that order.","labels":0,"seconds_difference":3471.0,"score_ratio":25.0}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhb5sl","c_root_id_B":"fdhdanm","created_at_utc_A":1578419230,"created_at_utc_B":1578420315,"score_A":21,"score_B":42,"human_ref_A":"i would just like to point out that you ruled out ibs due to one symptom not matching. often times, you can't rule out a disease unless the symptom(s), is\/are pathognomonic. you can present with a wide variety of symptoms with ibs.","human_ref_B":"Not a doctor. But I would just like to say, you discounted it being psychological because there are physical symptoms. However, psychological issues such as anxiety - particularly health anxiety - very commonly manifest all sorts of physical symptoms. Please don\u2019t underestimate this, or what it can create within your body. Continue pursuing physical doctors by all means, but please also look at getting her CBT. It\u2019s been instrumental for me in getting over my health anxiety and the physical symptoms that come with it.","labels":0,"seconds_difference":1085.0,"score_ratio":2.0}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhdanm","c_root_id_B":"fdhamg9","created_at_utc_A":1578420315,"created_at_utc_B":1578418945,"score_A":42,"score_B":8,"human_ref_A":"Not a doctor. But I would just like to say, you discounted it being psychological because there are physical symptoms. However, psychological issues such as anxiety - particularly health anxiety - very commonly manifest all sorts of physical symptoms. Please don\u2019t underestimate this, or what it can create within your body. Continue pursuing physical doctors by all means, but please also look at getting her CBT. It\u2019s been instrumental for me in getting over my health anxiety and the physical symptoms that come with it.","human_ref_B":"I wonder if the not sitting on the toilet seat is causing some of the problems.  Her body might not be able to evacuate properly, so having a knock on effect to the problem.  I vaguely remember something about putting toilet paper around the seat encourages bacteria.  Maybe after each use, use a anti bac bathroom wipe on the seat.  So she has peace of mind there.  Also when booking a gp appointment request a double appointment slot.  Then you have more time to discuss it, also write all symptoms down as a cue sheet for you.  I know with my health issues my doctor is happier to see that I have it written down than me saying I know there is something else but cannot remember.  Good luck, hope you find an answer","labels":1,"seconds_difference":1370.0,"score_ratio":5.25}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdh52sa","c_root_id_B":"fdhdanm","created_at_utc_A":1578415553,"created_at_utc_B":1578420315,"score_A":4,"score_B":42,"human_ref_A":"Not a doctor, but just came here to tell you you are awesome.  Has she been tested for celiac disease? It can cause a myriad of different things to happen to the body.","human_ref_B":"Not a doctor. But I would just like to say, you discounted it being psychological because there are physical symptoms. However, psychological issues such as anxiety - particularly health anxiety - very commonly manifest all sorts of physical symptoms. Please don\u2019t underestimate this, or what it can create within your body. Continue pursuing physical doctors by all means, but please also look at getting her CBT. It\u2019s been instrumental for me in getting over my health anxiety and the physical symptoms that come with it.","labels":0,"seconds_difference":4762.0,"score_ratio":10.5}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhb5sl","c_root_id_B":"fdi62e2","created_at_utc_A":1578419230,"created_at_utc_B":1578436370,"score_A":21,"score_B":24,"human_ref_A":"i would just like to point out that you ruled out ibs due to one symptom not matching. often times, you can't rule out a disease unless the symptom(s), is\/are pathognomonic. you can present with a wide variety of symptoms with ibs.","human_ref_B":"She has fecal incontinence. She needs anal manometry. See a colorectal surgeon.","labels":0,"seconds_difference":17140.0,"score_ratio":1.1428571429}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdi62e2","c_root_id_B":"fdhamg9","created_at_utc_A":1578436370,"created_at_utc_B":1578418945,"score_A":24,"score_B":8,"human_ref_A":"She has fecal incontinence. She needs anal manometry. See a colorectal surgeon.","human_ref_B":"I wonder if the not sitting on the toilet seat is causing some of the problems.  Her body might not be able to evacuate properly, so having a knock on effect to the problem.  I vaguely remember something about putting toilet paper around the seat encourages bacteria.  Maybe after each use, use a anti bac bathroom wipe on the seat.  So she has peace of mind there.  Also when booking a gp appointment request a double appointment slot.  Then you have more time to discuss it, also write all symptoms down as a cue sheet for you.  I know with my health issues my doctor is happier to see that I have it written down than me saying I know there is something else but cannot remember.  Good luck, hope you find an answer","labels":1,"seconds_difference":17425.0,"score_ratio":3.0}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhs6tc","c_root_id_B":"fdi62e2","created_at_utc_A":1578429152,"created_at_utc_B":1578436370,"score_A":5,"score_B":24,"human_ref_A":"Not a doctor - my dad has bowel issues and my mum has Coeliac so I've seen the inside of many bowel clinics.  If the particles are microscopic how can you see them? Are you sure there's not an anxiety\/psychological element to this?  The scope can only go so far without doing damage, it was probably a sigmoidoscopy? Anyway if she was impacted it would have saw that or sent her to A&E when she took the Kleen-prep.  If she's eating rubbish and not drinking enough then why aren't you doing anything about it? Your super market might not sell Romanian goods but it definitely sells fresh meat, cheese, veg and pulses. Cook books and YouTube will tell you what to do with these, no point saying your diet is crap and not doing anything about it. You can buy soluble fibre to add to the diet too if you think that will help. As for fluids, there's no excuse for that - there's plenty of water in the tap.  You might want to cut back on the wiping, it must be damaging to be constantly rubbing down there, she might want to try actually bathing after going to the toilet (look up hip bath).   You need to double book a GP appointment and explain everything that's going on, including the 3 hour marathon cleaning sessions to get a picture of what's going on here.","human_ref_B":"She has fecal incontinence. She needs anal manometry. See a colorectal surgeon.","labels":0,"seconds_difference":7218.0,"score_ratio":4.8}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdh52sa","c_root_id_B":"fdi62e2","created_at_utc_A":1578415553,"created_at_utc_B":1578436370,"score_A":4,"score_B":24,"human_ref_A":"Not a doctor, but just came here to tell you you are awesome.  Has she been tested for celiac disease? It can cause a myriad of different things to happen to the body.","human_ref_B":"She has fecal incontinence. She needs anal manometry. See a colorectal surgeon.","labels":0,"seconds_difference":20817.0,"score_ratio":6.0}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdi62e2","c_root_id_B":"fdhhmqs","created_at_utc_A":1578436370,"created_at_utc_B":1578422830,"score_A":24,"score_B":4,"human_ref_A":"She has fecal incontinence. She needs anal manometry. See a colorectal surgeon.","human_ref_B":"Not a doctor, but see a specialist (proctologist). I have IBS(-D) and that caused a slew of other problems. The doc told me to stop using wet wipes as they can cause micro tears on all that sensitive skin (which it was, very burn-y). Ended up with hemorrhoids for awhile, eventually had a fissure that eventually turned into an abscess with a fistula. I say all this because at the fistula stage I had all sorts of weird discharge happening, plus extreme fatigue. It didn\u2019t really hurt at that point (until I had surgery, but it got better).   See the doctor, keep a food diary\u2014mine had me follow the FOD-MAP chart to see if that helped. Stay hydrated for sure. Good luck, I hope you all find a solution soon.","labels":1,"seconds_difference":13540.0,"score_ratio":6.0}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhfz9d","c_root_id_B":"fdi62e2","created_at_utc_A":1578421835,"created_at_utc_B":1578436370,"score_A":2,"score_B":24,"human_ref_A":"Not a doctor IDK about the main issue, but as far as having to go #1 all the time, being overweight, poor eating habits, and laying around on the couch (suggesting fatigue), leads me to wonder about diabetes or prediabetes. At least her blood sugar should be tested to rule that out as well. Glucometers are cheap, or a doctor could do it.","human_ref_B":"She has fecal incontinence. She needs anal manometry. See a colorectal surgeon.","labels":0,"seconds_difference":14535.0,"score_ratio":12.0}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhb5sl","c_root_id_B":"fdhamg9","created_at_utc_A":1578419230,"created_at_utc_B":1578418945,"score_A":21,"score_B":8,"human_ref_A":"i would just like to point out that you ruled out ibs due to one symptom not matching. often times, you can't rule out a disease unless the symptom(s), is\/are pathognomonic. you can present with a wide variety of symptoms with ibs.","human_ref_B":"I wonder if the not sitting on the toilet seat is causing some of the problems.  Her body might not be able to evacuate properly, so having a knock on effect to the problem.  I vaguely remember something about putting toilet paper around the seat encourages bacteria.  Maybe after each use, use a anti bac bathroom wipe on the seat.  So she has peace of mind there.  Also when booking a gp appointment request a double appointment slot.  Then you have more time to discuss it, also write all symptoms down as a cue sheet for you.  I know with my health issues my doctor is happier to see that I have it written down than me saying I know there is something else but cannot remember.  Good luck, hope you find an answer","labels":1,"seconds_difference":285.0,"score_ratio":2.625}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhb5sl","c_root_id_B":"fdh52sa","created_at_utc_A":1578419230,"created_at_utc_B":1578415553,"score_A":21,"score_B":4,"human_ref_A":"i would just like to point out that you ruled out ibs due to one symptom not matching. often times, you can't rule out a disease unless the symptom(s), is\/are pathognomonic. you can present with a wide variety of symptoms with ibs.","human_ref_B":"Not a doctor, but just came here to tell you you are awesome.  Has she been tested for celiac disease? It can cause a myriad of different things to happen to the body.","labels":1,"seconds_difference":3677.0,"score_ratio":5.25}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhamg9","c_root_id_B":"fdh52sa","created_at_utc_A":1578418945,"created_at_utc_B":1578415553,"score_A":8,"score_B":4,"human_ref_A":"I wonder if the not sitting on the toilet seat is causing some of the problems.  Her body might not be able to evacuate properly, so having a knock on effect to the problem.  I vaguely remember something about putting toilet paper around the seat encourages bacteria.  Maybe after each use, use a anti bac bathroom wipe on the seat.  So she has peace of mind there.  Also when booking a gp appointment request a double appointment slot.  Then you have more time to discuss it, also write all symptoms down as a cue sheet for you.  I know with my health issues my doctor is happier to see that I have it written down than me saying I know there is something else but cannot remember.  Good luck, hope you find an answer","human_ref_B":"Not a doctor, but just came here to tell you you are awesome.  Has she been tested for celiac disease? It can cause a myriad of different things to happen to the body.","labels":1,"seconds_difference":3392.0,"score_ratio":2.0}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhs6tc","c_root_id_B":"fdj7e2r","created_at_utc_A":1578429152,"created_at_utc_B":1578460546,"score_A":5,"score_B":6,"human_ref_A":"Not a doctor - my dad has bowel issues and my mum has Coeliac so I've seen the inside of many bowel clinics.  If the particles are microscopic how can you see them? Are you sure there's not an anxiety\/psychological element to this?  The scope can only go so far without doing damage, it was probably a sigmoidoscopy? Anyway if she was impacted it would have saw that or sent her to A&E when she took the Kleen-prep.  If she's eating rubbish and not drinking enough then why aren't you doing anything about it? Your super market might not sell Romanian goods but it definitely sells fresh meat, cheese, veg and pulses. Cook books and YouTube will tell you what to do with these, no point saying your diet is crap and not doing anything about it. You can buy soluble fibre to add to the diet too if you think that will help. As for fluids, there's no excuse for that - there's plenty of water in the tap.  You might want to cut back on the wiping, it must be damaging to be constantly rubbing down there, she might want to try actually bathing after going to the toilet (look up hip bath).   You need to double book a GP appointment and explain everything that's going on, including the 3 hour marathon cleaning sessions to get a picture of what's going on here.","human_ref_B":"Pelvic floor disfunction can cause birth urinary and fecal incontinence and is treated with physical therapy. She might mention it to a GP or gyno. Another possibility.","labels":0,"seconds_difference":31394.0,"score_ratio":1.2}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdh52sa","c_root_id_B":"fdhs6tc","created_at_utc_A":1578415553,"created_at_utc_B":1578429152,"score_A":4,"score_B":5,"human_ref_A":"Not a doctor, but just came here to tell you you are awesome.  Has she been tested for celiac disease? It can cause a myriad of different things to happen to the body.","human_ref_B":"Not a doctor - my dad has bowel issues and my mum has Coeliac so I've seen the inside of many bowel clinics.  If the particles are microscopic how can you see them? Are you sure there's not an anxiety\/psychological element to this?  The scope can only go so far without doing damage, it was probably a sigmoidoscopy? Anyway if she was impacted it would have saw that or sent her to A&E when she took the Kleen-prep.  If she's eating rubbish and not drinking enough then why aren't you doing anything about it? Your super market might not sell Romanian goods but it definitely sells fresh meat, cheese, veg and pulses. Cook books and YouTube will tell you what to do with these, no point saying your diet is crap and not doing anything about it. You can buy soluble fibre to add to the diet too if you think that will help. As for fluids, there's no excuse for that - there's plenty of water in the tap.  You might want to cut back on the wiping, it must be damaging to be constantly rubbing down there, she might want to try actually bathing after going to the toilet (look up hip bath).   You need to double book a GP appointment and explain everything that's going on, including the 3 hour marathon cleaning sessions to get a picture of what's going on here.","labels":0,"seconds_difference":13599.0,"score_ratio":1.25}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhhmqs","c_root_id_B":"fdhs6tc","created_at_utc_A":1578422830,"created_at_utc_B":1578429152,"score_A":4,"score_B":5,"human_ref_A":"Not a doctor, but see a specialist (proctologist). I have IBS(-D) and that caused a slew of other problems. The doc told me to stop using wet wipes as they can cause micro tears on all that sensitive skin (which it was, very burn-y). Ended up with hemorrhoids for awhile, eventually had a fissure that eventually turned into an abscess with a fistula. I say all this because at the fistula stage I had all sorts of weird discharge happening, plus extreme fatigue. It didn\u2019t really hurt at that point (until I had surgery, but it got better).   See the doctor, keep a food diary\u2014mine had me follow the FOD-MAP chart to see if that helped. Stay hydrated for sure. Good luck, I hope you all find a solution soon.","human_ref_B":"Not a doctor - my dad has bowel issues and my mum has Coeliac so I've seen the inside of many bowel clinics.  If the particles are microscopic how can you see them? Are you sure there's not an anxiety\/psychological element to this?  The scope can only go so far without doing damage, it was probably a sigmoidoscopy? Anyway if she was impacted it would have saw that or sent her to A&E when she took the Kleen-prep.  If she's eating rubbish and not drinking enough then why aren't you doing anything about it? Your super market might not sell Romanian goods but it definitely sells fresh meat, cheese, veg and pulses. Cook books and YouTube will tell you what to do with these, no point saying your diet is crap and not doing anything about it. You can buy soluble fibre to add to the diet too if you think that will help. As for fluids, there's no excuse for that - there's plenty of water in the tap.  You might want to cut back on the wiping, it must be damaging to be constantly rubbing down there, she might want to try actually bathing after going to the toilet (look up hip bath).   You need to double book a GP appointment and explain everything that's going on, including the 3 hour marathon cleaning sessions to get a picture of what's going on here.","labels":0,"seconds_difference":6322.0,"score_ratio":1.25}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhfz9d","c_root_id_B":"fdhs6tc","created_at_utc_A":1578421835,"created_at_utc_B":1578429152,"score_A":2,"score_B":5,"human_ref_A":"Not a doctor IDK about the main issue, but as far as having to go #1 all the time, being overweight, poor eating habits, and laying around on the couch (suggesting fatigue), leads me to wonder about diabetes or prediabetes. At least her blood sugar should be tested to rule that out as well. Glucometers are cheap, or a doctor could do it.","human_ref_B":"Not a doctor - my dad has bowel issues and my mum has Coeliac so I've seen the inside of many bowel clinics.  If the particles are microscopic how can you see them? Are you sure there's not an anxiety\/psychological element to this?  The scope can only go so far without doing damage, it was probably a sigmoidoscopy? Anyway if she was impacted it would have saw that or sent her to A&E when she took the Kleen-prep.  If she's eating rubbish and not drinking enough then why aren't you doing anything about it? Your super market might not sell Romanian goods but it definitely sells fresh meat, cheese, veg and pulses. Cook books and YouTube will tell you what to do with these, no point saying your diet is crap and not doing anything about it. You can buy soluble fibre to add to the diet too if you think that will help. As for fluids, there's no excuse for that - there's plenty of water in the tap.  You might want to cut back on the wiping, it must be damaging to be constantly rubbing down there, she might want to try actually bathing after going to the toilet (look up hip bath).   You need to double book a GP appointment and explain everything that's going on, including the 3 hour marathon cleaning sessions to get a picture of what's going on here.","labels":0,"seconds_difference":7317.0,"score_ratio":2.5}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdh52sa","c_root_id_B":"fdj7e2r","created_at_utc_A":1578415553,"created_at_utc_B":1578460546,"score_A":4,"score_B":6,"human_ref_A":"Not a doctor, but just came here to tell you you are awesome.  Has she been tested for celiac disease? It can cause a myriad of different things to happen to the body.","human_ref_B":"Pelvic floor disfunction can cause birth urinary and fecal incontinence and is treated with physical therapy. She might mention it to a GP or gyno. Another possibility.","labels":0,"seconds_difference":44993.0,"score_ratio":1.5}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhhmqs","c_root_id_B":"fdj7e2r","created_at_utc_A":1578422830,"created_at_utc_B":1578460546,"score_A":4,"score_B":6,"human_ref_A":"Not a doctor, but see a specialist (proctologist). I have IBS(-D) and that caused a slew of other problems. The doc told me to stop using wet wipes as they can cause micro tears on all that sensitive skin (which it was, very burn-y). Ended up with hemorrhoids for awhile, eventually had a fissure that eventually turned into an abscess with a fistula. I say all this because at the fistula stage I had all sorts of weird discharge happening, plus extreme fatigue. It didn\u2019t really hurt at that point (until I had surgery, but it got better).   See the doctor, keep a food diary\u2014mine had me follow the FOD-MAP chart to see if that helped. Stay hydrated for sure. Good luck, I hope you all find a solution soon.","human_ref_B":"Pelvic floor disfunction can cause birth urinary and fecal incontinence and is treated with physical therapy. She might mention it to a GP or gyno. Another possibility.","labels":0,"seconds_difference":37716.0,"score_ratio":1.5}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdj7e2r","c_root_id_B":"fdhfz9d","created_at_utc_A":1578460546,"created_at_utc_B":1578421835,"score_A":6,"score_B":2,"human_ref_A":"Pelvic floor disfunction can cause birth urinary and fecal incontinence and is treated with physical therapy. She might mention it to a GP or gyno. Another possibility.","human_ref_B":"Not a doctor IDK about the main issue, but as far as having to go #1 all the time, being overweight, poor eating habits, and laying around on the couch (suggesting fatigue), leads me to wonder about diabetes or prediabetes. At least her blood sugar should be tested to rule that out as well. Glucometers are cheap, or a doctor could do it.","labels":1,"seconds_difference":38711.0,"score_ratio":3.0}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdiij9p","c_root_id_B":"fdj7e2r","created_at_utc_A":1578443693,"created_at_utc_B":1578460546,"score_A":2,"score_B":6,"human_ref_A":"Mandatory I'm not a doctor.   Don't take what I say as gospel by any means. I'm merely dropping ideas that came to mind due to things I've read, experienced, and worked around.    I know that the suggestions of psychological issues being present can be offensive and feel condescending. Here's the thing to remember, though- she has physical symptoms. My uneducated but observant mind thinks something is wrong but it may be a much smaller issue than it seems, and that I would guess is due to OCD-type issues and\/or anxiety.    I would guess that she does have some kind of IBD. My first colonoscopy did not detect my Ulcerative Colitis so, sometimes, one test isn't enough. It can cause mucus-only restroom visits. And, as a previous person said, she may have fecal incontinence. What brings that into question for me, though, is that you said she ALSO has urinary incontinence problems.    Again, I'm just guessing here, but if she already had some OCD-type tendencies or anxiety before, her becoming so uncomfortable with bathroom visits at your older residence may have been the tipping point. Combine that with all the bad things she now associates with going to the bathroom, any normal person would develop avoidance behavior. Bad. Very bluntly, if she sometimes pees herself because she waits so long to go (likely due to dreading how long she knows it will take after), she must do it with #2, as well. If she's going #2 the normal amount of times, it's not normal. Because if she's holding it for a long time every time, no one knows what her normal stool is.    I respect you and I respect her. It sounds like she's having a real battle and she's a real warrior. Nothing about it is \"not real\". Fear does crazy stuff to us, though. I promise I have been there with another condition. Many have. With bathroom issues, though, what can start out as a problem can get much worse if that anxiety builds. Avoidance makes everything worse. Unfortunately, I don't know how much a doctor can help until you guys can see what problems exist in the absence of avoidance.    The particles she's talking about that you can't see? I'm about to get real blunt and gross here. Imagine constantly thinking about butt problems, clinching your butt cheeks all day, especially when you're trying to hold it. Mix that with probable IBD issues, and that makes for... a gross stew of cursed butt sweat. Here in the US, it's called swamp ass. Those particles she's mentioning is probably sweat mixed with a tiny bit of discharge\/ minuscule amount of stool. She sees slight discoloration when she wipes and all the way up the crack.    You sound like an amazing partner and confidante, but everyone could do with more professional, psychological help when going through hard times. She CAN lead a fulfilling life that's more than what she's currently experiencing, but it'll take some bravery on her part. I am sure you guys can get through it. Best of luck.","human_ref_B":"Pelvic floor disfunction can cause birth urinary and fecal incontinence and is treated with physical therapy. She might mention it to a GP or gyno. Another possibility.","labels":0,"seconds_difference":16853.0,"score_ratio":3.0}
-{"post_id":"elcpn8","domain":"askdocs_test","upvote_ratio":0.9,"history":"My partner [27\/F] has some serious issues with her back passage and we don't know what to do. (Attempt 2) I posted this 15 days ago and got no responses. I'm gonna try again because I really want some answers to this.  Apologies if my explanation of what's going on goes a little all over the place, I'm not really sure what the best way to go about explaining everything is, but I did the best I could to get things as coherant and understandable as possible while explaining as much as I can about everything that's happening.  Feel free to offer any feedback on how I can re-word this to explain things better or ask any clarification questions you may have.  And please carefully read the whole thing before you comment any suggestions or anything. Thank you.  &#x200B;  About three years ago now, my partner developed a health problem.  It started out small but just kept getting worse and worse and causing other issues alongside it, and now everything's just gotten extremely bad.  &#x200B;  Let's get the medical details out of the way first. We don't know my partner's current weight (though she is a bit on the chubby side), her height is about 6 foot, she doesn't smoke, doesn't drink any alcohol, doesn't take any drugs, not currently taking any medicine and has no known current medical issues (except maybe some undiagnosed anxiety issues)  &#x200B;  Okay so let's start with the symptoms of my partner's health problem. They are as follows;  **Symptom 1)** Yellow or brown (Or somewhere in between) liquid (Not watery, more mucus-y) discharge (Before you say it, it's not diarrhea or constipation) from the butthole that takes more than one roll of toilet paper to wipe off before it stops. Especially after going number 2. It just never seems to stop coming after a number 2. Every time she wipes, there's discharge.  It's gotten to the point of where she doesn't bother to keep wiping until it finally decides to completely stop, but rather get it down to where it's only a little bit coming out and then move on to other things while she waits for it to eventually stop on its own.  This discharge doesn't always appear when going number 1, I think.  We are using wet wipes as a replacement for TP to clean things up but it still takes several packets a day. So it's either spend a few quid on a big packet of TP daily or spend a few quid on several packs of wet wipes daily.  Works out to more or less the same amount of money spent over the same period of time either way.  **Symptom 2)** Tiny specks of what we can only assume is fecal matter being deposited from her butthole into her buttcrack. Again, taking multiple rolls of paper to remove. And she fears if she doesn't remove them they'll just fall off into her clothes and onto everywhere she walks, sits and lays in bed.  They appear every time she goes number 1 except for roughly a day-long period immediately following going number 2, which suggests they're from any amount of fecal matter that's formed in her intestines.  These specks are so small that they are not visible to the naked eye unless you look really closely.  &#x200B;  She spends about an hour in the bathroom every time she goes number 1, and at least 3 hours when she goes number 2, and 99% of both time periods is JUST so she can clean herself up after the actual deed.  It drains all her time and energy every single day. She's too exhausted to do anything other than sit on the couch and do stuff on the laptop.  This leaves me to have to keep on top of all the chores...and as you can imagine being one person dealing with chores generated from two people is not easy, especially when one of those people is generating way more than the normal amount of trash because of their health issues.  She's been to a few different doctors a number of times about her issues. They've done blood tests, put a camera up her rear and tested a fecal matter sample. Every single test revealed nothing abnormal.  The doctors are clueless. One even suggested it's all in her head and wanted to send her to a phsychiarist. No, it is NOT all in her head. These are real, physical symptoms she's having. I've seen the discharge myself on a number of occasions.  They also keep asking if it's diarrhea or constipation for some reason, but it's neither of those.  It's like they just don't understand what we're trying to tell them. We feel like we're not able to explain our issues to them properly so they can fully understand what's going on. It doesn't help that normal GP appointments only have a short period of allotted time to talk to the doctor in, so we can't get the full story out.  We're also concerned they think she's making all this up just to get out of having to find a job.  And because her issue takes up all her time and energy, we rarely have the chance to make regular appointments to talk to the doctor more and maybe try some other tests to see if they can finally determine what's going on.  &#x200B;  We have a few theories as to what could be affecting her but they're just theories. We're obviously not medical experts or anything. I'll put them in order from most likely culprit to least;  **Theory 1) Irratable Bowel Syndrome.**  This was suggested to us by someone we confided with in real life who just so happened to have IBS themselves and recognised the symptoms.  At the time, the symptoms did seem to match up. The discharge, at the time my partner was feeling like she didn't get rid of everything every time she went number 2, stomach cramps...I don't remember what else...  Another thing that points towards IBS is that, before her health issues arose, my partner has actually had the discharge appear throughout her life on very rare occasions, only much smaller amounts which cleared away with normal toilet paper usage, which suggests some kind of genetic issue that we can put somewhere under the IBS umbrella.  However, we scoured the internet and asked around a little bit regarding IBS but could not for the life of us find any mention of the tiny fecal specks.  In fact, it's as if the tiny fecal specks symptom doesn't exist AT ALL in any known medical ailment. At least, not as far as we can find.  **Theory 2) Toilet usage issues messed up her digestive tract.**  When my partner and I first started living together, we spent over a year sharing a house and a single bathroom with two other people.  And just about any time my partner used the bathroom during this time, one or both of the other two other people would come to the bathroom, find it occupied, tut, sigh, and then go back from whence they came while they wait for it to be unoccupied again.  Hearing them tutting and sighing caused my partner to become self-concious about her toilet usage and it discouraged her from using the bathroom as often as she needed, especially for number 2s.  She ended up holding number 2s way longer than she should, making them build up into huge toilet-clogging monsters which only worsened the issue.  We think her holding her number 2s like this might have messed up her internal pipes somewhere somehow.  When they had a look in there with the camera, they didn't really go very deep from what I saw on the diagram they provided afterwards. The damage could be further up where the camera didn't see.  Either that or holding so much for so long reprogrammed her chute to behave in this abnormal way and re-educating it back to normal will be difficult.  The only issue with this explanation is when we moved out of the living situation with those other two people into a place of our own, for the first couple of weeks there my partner's number 2s were actually perfectly normal. No issues whatsoever. Then one day, she found the discharge on her underwear. And that's where it all started about 3 years ago.  **Theory 3) Fecal Impaction**  We recently found this when looking up the question of if it's possible for your bowel movements to damage your bowels, and a lot of the symptoms seemed to line up with what my partner's been experiencing.  It could very well explain the particles...a bit of number 2 constantly stuck at the end of the chute or something like that...it would make sense...right?  I don't know if that's something they would spot when they went in with the camera that time though...  **Theory 4) A drastic change in diet messed up her digestive tract.**  My partner is originally from Romania, where she enjoyed healthy homemade food served to her by her family for every meal on a daily basis and she very rarely had any fast food.  Before she came to England, she was warned by a friend of hers that had already visited a few times that we pretty much only had fast food in our supermarkets.  I guess she wasn't prepared for just how true that statement is. In an instant she went from a healthy nutritious diet of daily homemade meals to having what amounts to something outta McDonalds every lunch and dinner.  She has no idea where to even look for the healthier homemade stuff she used to have, and neither do I.  Like jeez, England, get your culinary stuff together. I was having this stuff my whole life and never realised it wasn't normal until my partner told me when we got together. Nobody said anything to me until then, not even my parents. Heck, my parents even FED me that stuff when I was younger.  What's more, anything healthier is pretty darn expensive for the amount you get.  Healthier foods seriously need to be made more readily available for cheaper. No question about it.  **Theory 5) Dehydration.**  We reckon my partner is not getting enough liquid into her system. She has told me on multiple occasions she feels she needs to drink more than she is doing.  This is confirmed by the fact her number 2s are often quite dark, which is a sign of lack of hydration.  Unfortunately there's another issue preventing her from trying to drink more.  As well as the fact that her main health issues are causing her to spend an hour in the toilet every time she goes number 1, she's also been getting an occasional occurrence of periods of time where she constantly feels the need to go number 1, even from literally the split second after she just finished going number 1. She does try to squeeze out whatever's in there, but nothing comes out, and she still feels the need to go.  So she ends up finishing with the toilet while feeling the need to go number 1, and then going about her day until she's sure she has some liquid in there again, rinse, and repeat.  This constant feeling of needing to go has lead her to...have accidents on multiple occasions, especially when she's trying to wake up in the morning.  Like, as soon as she gets out of bed she has to rush to the toilet. But sometimes she's not fast enough to avoid drenching her garments.  The cold seems to make it much, much worse as well. She's always had a cold sensitivity but once she got these health issues, her feeling cold causes her bladder to go crazy.  And when she goes number 2, at the same time she finds herself going number 1 three or four times in a row, and then two or three more times while she's cleaning up after.  We have no idea where her bladder is getting all this liquid from. We're pretty confident she's outputting way more liquid than she's drinking each day.  In fact she seems to need to go as soon as she drinks something, like the drink is just going right through her.  We do suspect a UTI is at play, possibly brought on by her main health issue somehow.  So with her going number 1 or feeling the need to go number 1 all the time, and having to spend an hour every time, being motivated to drink more is pretty darn difficult.  **Theory 6) Stress**  The health problem may have been started by stress. And then she's stressing about the health problem. Aaaand hello vicious cycle.  **Theory 7) She's doing something wrong with wiping herself.**  This is a theory she has but one that I feel makes no sense. She has this idea that somehow she's doing something wrong with how she's wiping with the toilet paper and that's what's bringing out the discharge and the particles.  I have no idea how you can even do something wrong. You wipe along your crack. That's pretty much it. How can you get that wrong? I dunno.  I think those are all the theories we've come up with so far. So yeah, we think the problem could be any one of those theories, or even a combination of them.  &#x200B;  Moving on, I should mention my partner is a bit of a cleanliness freak. So much so she absolutely refuses to sit on the porcelean throne without covering it in clean toilet paper first. She's convinced it's always dirty, no matter how much it's actually cleaned.  But with her issue with number 1s she's always ending up needing to go really, really bad like she can't hold it another minute so she has no time to cover the seat with paper,  So instead she goes number 1 just crouching over the toilet. So she's also standing the whole 1 hour it takes her to use the bathroom.  She's not just cleaning her buttcrack and\/or her peepee hole either, she also cleans her buttcheeks and all down her legs, because she's convinced she's got those particles I talked about earlier falling all over those areas every time she uses the bathroom.  I don't know if that's actually happening, since I can't exactly watch what's happening to her in the bathroom. (It's way too small for two people to occupy)  That's not to mention each time she goes number 1 the liquid trickles down her legs each time. Oh, and obviously if she has an accident she has to clean that off her legs.  I have to help out as well by bringing packs of wet wipes and handing her the wet wipes for her to use. She always ends up using up a whole pack for number 1 and several packs (varying from 4 up to 8, sometimes more, depending on how bad the discharge decides to be) for number 2.  Here's another thing, she has to use so much toilet paper that it doesn't even fit in the toilet bowl, she has to use trash bins. And we live in an apartment block with a trash chute that's only big enough to fit shopping carrier bag sized trash bags.  So we have to have two small trash bins in the bathroom for all the toilet paper and wet wipes she uses, and every time she uses the bathroom she fills them to overflowing and it sometimes falls off onto the floor, and then she stresses about it blowing dirt from the floor and the fallen trash onto her, so she ends up cleaning herself even more from that, creating even more trash to put on the already overflowing trash bins!  I have suggested a third bin to help alleviate things but she doesn't think there's enough space. Her feet sometimes accidentally kick the two that's there already as it is.  And that's just from going number one. When she goes number two, about halfway through the whole ordeal we actually have to take the time for her to empty the bins of the full bags, give them to me to dispose of, and then have me give her fresh empty bags to put in the bins, and then she proceeds to fill and overflow those too before she's finished!  And we have to use gloves for this. In fact we have to use gloves for pretty much everything when she goes number two, so I have to bring her gloves to use!  Mostly gloves for the wet wipes to wipe her crack with. She doesn't want to get naked fingers covered in ass discharge while she's cleaning, obviously.  Also when she goes number two, she HAS to change all her clothes to a clean set, no question. Again, with gloves.  Also she has to put two period pads onto her underwear to be able to cover all three...\"exits\", hoping they'll catch anything that might otherwise fall onto her clothes.  As you can imagine, all this toilet paper, wet wipes and period pads causes a serious drain on our already lacking funds...and obviously we can't get any jobs while we're dealing with these health issues.  Also, all this standing around in the bathroom causes a lot of leg and back pain and she never really has time to recover before she needs the bathroom again so it's just steadily getting worse and worse and causing more and more pain.  When she goes walking, she worries about when she walks normally, her period pads feel like they're moving side to side and uncovering her butt crack and letting particles got into her pants, so to keep them centered as much as possible she does this weird slow stiff walk that only causes even more pain.  Lately she's been complaining about not having the physical strength to continue cleaning herself whenever she's in the toilet. She's not just talking about each partcular time, either, she means in general she feels like the time she spends in the toilet is draining her physical strength more and more.  She says she feels like she's just going to collapse in the bathroom one day, a thing she really doesn't want to happen, especially during number 2, because the floor is not clean at all, it's likely got those particles all over it and more often than not there's a puddle in front of the toilet as well from her not being able to hold number 1, and she doesn't know how to clean herself up after that. Wet wipes won't be enough and she'll be at the point where just jumping in the shower will just not be physically possible.  What's more she could get seriously injured from the collapse, possibly even to a fatal degree if she hits her head on something hard and unforgiving.  In general she's in fear of her life, that something's just gonna give and she's just gonna die from all this strain her body's being put through, and we feel absolutely powerless to stop it from happening.  I really can't stress enough just how bad it is. She keeps talking about how she's losing her mind and how she can't keep going on like this and she keeps yelling at the universe to just fluffing kill her already if that's what all this is leading to.  She also gets upset that she feels she ruined my life by coming into it, and I have to reassure her that's not the case. (I ruined my life plenty already by being a lazy piece of whatever before I met her)  Sometimes she gets so upset she wants to go kill herself somehow, and I have to try and help calm her down. But it's getting harder and harder each time. One time recently she got so upset she stormed off right out of our apartment and made it down four floors of stairs before I could get her to stop and calm down.  So I guess my question is this;  What the heck health issue is plaguing my partner, and how do we effectively communicate to a doctor in real life what's going on?","c_root_id_A":"fdhhmqs","c_root_id_B":"fdhfz9d","created_at_utc_A":1578422830,"created_at_utc_B":1578421835,"score_A":4,"score_B":2,"human_ref_A":"Not a doctor, but see a specialist (proctologist). I have IBS(-D) and that caused a slew of other problems. The doc told me to stop using wet wipes as they can cause micro tears on all that sensitive skin (which it was, very burn-y). Ended up with hemorrhoids for awhile, eventually had a fissure that eventually turned into an abscess with a fistula. I say all this because at the fistula stage I had all sorts of weird discharge happening, plus extreme fatigue. It didn\u2019t really hurt at that point (until I had surgery, but it got better).   See the doctor, keep a food diary\u2014mine had me follow the FOD-MAP chart to see if that helped. Stay hydrated for sure. Good luck, I hope you all find a solution soon.","human_ref_B":"Not a doctor IDK about the main issue, but as far as having to go #1 all the time, being overweight, poor eating habits, and laying around on the couch (suggesting fatigue), leads me to wonder about diabetes or prediabetes. At least her blood sugar should be tested to rule that out as well. Glucometers are cheap, or a doctor could do it.","labels":1,"seconds_difference":995.0,"score_ratio":2.0}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0u9x1","c_root_id_B":"ea0taep","created_at_utc_A":1542614163,"created_at_utc_B":1542612394,"score_A":477,"score_B":37,"human_ref_A":"Please tell your wife why you don\u2019t kiss. She will understand.","human_ref_B":"Could be a Zenker\u2019s diverticulum or similar esophageal disorder where a an abnormal \u201cpocket\u201d forms, trapping food you have swallowed. The trapped food then can causes bad breath and other symptoms you described. Worth it to go see a gastroenterologist or a general surgeon where a swallow study or a scope can diagnose this.","labels":1,"seconds_difference":1769.0,"score_ratio":12.8918918919}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0u9x1","c_root_id_B":"ea0suha","created_at_utc_A":1542614163,"created_at_utc_B":1542611629,"score_A":477,"score_B":13,"human_ref_A":"Please tell your wife why you don\u2019t kiss. She will understand.","human_ref_B":"Is your breathe bad? Does it hurt to swallow food sometimes? Are you on any medications?","labels":1,"seconds_difference":2534.0,"score_ratio":36.6923076923}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0u9x1","c_root_id_B":"ea0t0vb","created_at_utc_A":1542614163,"created_at_utc_B":1542611934,"score_A":477,"score_B":3,"human_ref_A":"Please tell your wife why you don\u2019t kiss. She will understand.","human_ref_B":"Do you brush your tongue?","labels":1,"seconds_difference":2229.0,"score_ratio":159.0}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0taep","c_root_id_B":"ea0wk7z","created_at_utc_A":1542612394,"created_at_utc_B":1542618622,"score_A":37,"score_B":116,"human_ref_A":"Could be a Zenker\u2019s diverticulum or similar esophageal disorder where a an abnormal \u201cpocket\u201d forms, trapping food you have swallowed. The trapped food then can causes bad breath and other symptoms you described. Worth it to go see a gastroenterologist or a general surgeon where a swallow study or a scope can diagnose this.","human_ref_B":"Have you checked for tonsil stones ?","labels":0,"seconds_difference":6228.0,"score_ratio":3.1351351351}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0wk7z","c_root_id_B":"ea0vnh8","created_at_utc_A":1542618622,"created_at_utc_B":1542616789,"score_A":116,"score_B":22,"human_ref_A":"Have you checked for tonsil stones ?","human_ref_B":"I have this problem as well, albeit not as extreme. If you find a solution I would very much like to know","labels":1,"seconds_difference":1833.0,"score_ratio":5.2727272727}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0suha","c_root_id_B":"ea0wk7z","created_at_utc_A":1542611629,"created_at_utc_B":1542618622,"score_A":13,"score_B":116,"human_ref_A":"Is your breathe bad? Does it hurt to swallow food sometimes? Are you on any medications?","human_ref_B":"Have you checked for tonsil stones ?","labels":0,"seconds_difference":6993.0,"score_ratio":8.9230769231}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0wk7z","c_root_id_B":"ea0t0vb","created_at_utc_A":1542618622,"created_at_utc_B":1542611934,"score_A":116,"score_B":3,"human_ref_A":"Have you checked for tonsil stones ?","human_ref_B":"Do you brush your tongue?","labels":1,"seconds_difference":6688.0,"score_ratio":38.6666666667}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0vi5a","c_root_id_B":"ea0taep","created_at_utc_A":1542616501,"created_at_utc_B":1542612394,"score_A":116,"score_B":37,"human_ref_A":"My husband had non alcoholic fatty liver and his breath was very potent. He changed his diet less dairy and low carb eating and his breath is much more pleasant now.  I don\u2019t mind kissing him now. I understand where you are coming from. Don\u2019t be shy and go see a doctor and see what he says. You will get better. Don\u2019t give up.","human_ref_B":"Could be a Zenker\u2019s diverticulum or similar esophageal disorder where a an abnormal \u201cpocket\u201d forms, trapping food you have swallowed. The trapped food then can causes bad breath and other symptoms you described. Worth it to go see a gastroenterologist or a general surgeon where a swallow study or a scope can diagnose this.","labels":1,"seconds_difference":4107.0,"score_ratio":3.1351351351}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0suha","c_root_id_B":"ea0vi5a","created_at_utc_A":1542611629,"created_at_utc_B":1542616501,"score_A":13,"score_B":116,"human_ref_A":"Is your breathe bad? Does it hurt to swallow food sometimes? Are you on any medications?","human_ref_B":"My husband had non alcoholic fatty liver and his breath was very potent. He changed his diet less dairy and low carb eating and his breath is much more pleasant now.  I don\u2019t mind kissing him now. I understand where you are coming from. Don\u2019t be shy and go see a doctor and see what he says. You will get better. Don\u2019t give up.","labels":0,"seconds_difference":4872.0,"score_ratio":8.9230769231}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0t0vb","c_root_id_B":"ea0vi5a","created_at_utc_A":1542611934,"created_at_utc_B":1542616501,"score_A":3,"score_B":116,"human_ref_A":"Do you brush your tongue?","human_ref_B":"My husband had non alcoholic fatty liver and his breath was very potent. He changed his diet less dairy and low carb eating and his breath is much more pleasant now.  I don\u2019t mind kissing him now. I understand where you are coming from. Don\u2019t be shy and go see a doctor and see what he says. You will get better. Don\u2019t give up.","labels":0,"seconds_difference":4567.0,"score_ratio":38.6666666667}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0xokg","c_root_id_B":"ea0taep","created_at_utc_A":1542621004,"created_at_utc_B":1542612394,"score_A":60,"score_B":37,"human_ref_A":"Listen. Please tell your wife why. She *will understand*...if she loves you, and I\u2019m sure she does because she married you, she will understand. This isn\u2019t something you need to be embarrassed about. I hope you find the courage to tell her & go to a doctor. This could be a simple fix & it will change your life.","human_ref_B":"Could be a Zenker\u2019s diverticulum or similar esophageal disorder where a an abnormal \u201cpocket\u201d forms, trapping food you have swallowed. The trapped food then can causes bad breath and other symptoms you described. Worth it to go see a gastroenterologist or a general surgeon where a swallow study or a scope can diagnose this.","labels":1,"seconds_difference":8610.0,"score_ratio":1.6216216216}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0xokg","c_root_id_B":"ea0vnh8","created_at_utc_A":1542621004,"created_at_utc_B":1542616789,"score_A":60,"score_B":22,"human_ref_A":"Listen. Please tell your wife why. She *will understand*...if she loves you, and I\u2019m sure she does because she married you, she will understand. This isn\u2019t something you need to be embarrassed about. I hope you find the courage to tell her & go to a doctor. This could be a simple fix & it will change your life.","human_ref_B":"I have this problem as well, albeit not as extreme. If you find a solution I would very much like to know","labels":1,"seconds_difference":4215.0,"score_ratio":2.7272727273}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0suha","c_root_id_B":"ea0xokg","created_at_utc_A":1542611629,"created_at_utc_B":1542621004,"score_A":13,"score_B":60,"human_ref_A":"Is your breathe bad? Does it hurt to swallow food sometimes? Are you on any medications?","human_ref_B":"Listen. Please tell your wife why. She *will understand*...if she loves you, and I\u2019m sure she does because she married you, she will understand. This isn\u2019t something you need to be embarrassed about. I hope you find the courage to tell her & go to a doctor. This could be a simple fix & it will change your life.","labels":0,"seconds_difference":9375.0,"score_ratio":4.6153846154}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0t0vb","c_root_id_B":"ea0xokg","created_at_utc_A":1542611934,"created_at_utc_B":1542621004,"score_A":3,"score_B":60,"human_ref_A":"Do you brush your tongue?","human_ref_B":"Listen. Please tell your wife why. She *will understand*...if she loves you, and I\u2019m sure she does because she married you, she will understand. This isn\u2019t something you need to be embarrassed about. I hope you find the courage to tell her & go to a doctor. This could be a simple fix & it will change your life.","labels":0,"seconds_difference":9070.0,"score_ratio":20.0}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0suha","c_root_id_B":"ea0taep","created_at_utc_A":1542611629,"created_at_utc_B":1542612394,"score_A":13,"score_B":37,"human_ref_A":"Is your breathe bad? Does it hurt to swallow food sometimes? Are you on any medications?","human_ref_B":"Could be a Zenker\u2019s diverticulum or similar esophageal disorder where a an abnormal \u201cpocket\u201d forms, trapping food you have swallowed. The trapped food then can causes bad breath and other symptoms you described. Worth it to go see a gastroenterologist or a general surgeon where a swallow study or a scope can diagnose this.","labels":0,"seconds_difference":765.0,"score_ratio":2.8461538462}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0t0vb","c_root_id_B":"ea0taep","created_at_utc_A":1542611934,"created_at_utc_B":1542612394,"score_A":3,"score_B":37,"human_ref_A":"Do you brush your tongue?","human_ref_B":"Could be a Zenker\u2019s diverticulum or similar esophageal disorder where a an abnormal \u201cpocket\u201d forms, trapping food you have swallowed. The trapped food then can causes bad breath and other symptoms you described. Worth it to go see a gastroenterologist or a general surgeon where a swallow study or a scope can diagnose this.","labels":0,"seconds_difference":460.0,"score_ratio":12.3333333333}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1534v","c_root_id_B":"ea0vnh8","created_at_utc_A":1542633875,"created_at_utc_B":1542616789,"score_A":29,"score_B":22,"human_ref_A":"Just curious. Do you see a dentist regularly for check ups and cleanings? If so, have you brought this up already?   Some possibilities: Periodontal(gum) disease  Tonsil stones  Coated tongue  Xerostomia(dry mouth) Post nasal drip   Between your PCP and dentist, I hope they can help you get to the bottom of it, or at least refer you to a specialist (GI, ENT, etc)  Also, nothing to be embarrassed about! Let the professionals help you.   You can cross post this to r\/dentistry for more advice if you want.","human_ref_B":"I have this problem as well, albeit not as extreme. If you find a solution I would very much like to know","labels":1,"seconds_difference":17086.0,"score_ratio":1.3181818182}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1534v","c_root_id_B":"ea0suha","created_at_utc_A":1542633875,"created_at_utc_B":1542611629,"score_A":29,"score_B":13,"human_ref_A":"Just curious. Do you see a dentist regularly for check ups and cleanings? If so, have you brought this up already?   Some possibilities: Periodontal(gum) disease  Tonsil stones  Coated tongue  Xerostomia(dry mouth) Post nasal drip   Between your PCP and dentist, I hope they can help you get to the bottom of it, or at least refer you to a specialist (GI, ENT, etc)  Also, nothing to be embarrassed about! Let the professionals help you.   You can cross post this to r\/dentistry for more advice if you want.","human_ref_B":"Is your breathe bad? Does it hurt to swallow food sometimes? Are you on any medications?","labels":1,"seconds_difference":22246.0,"score_ratio":2.2307692308}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1534v","c_root_id_B":"ea11c4k","created_at_utc_A":1542633875,"created_at_utc_B":1542628450,"score_A":29,"score_B":12,"human_ref_A":"Just curious. Do you see a dentist regularly for check ups and cleanings? If so, have you brought this up already?   Some possibilities: Periodontal(gum) disease  Tonsil stones  Coated tongue  Xerostomia(dry mouth) Post nasal drip   Between your PCP and dentist, I hope they can help you get to the bottom of it, or at least refer you to a specialist (GI, ENT, etc)  Also, nothing to be embarrassed about! Let the professionals help you.   You can cross post this to r\/dentistry for more advice if you want.","human_ref_B":"I can\u2019t quite tell how you\u2019ve determined that your saliva smells, or if what you actually mean is that your breath smells. Saliva the is allowed to stand outside the mouth very shortly begins to smell terribly - this is the case for everyone, related to normal oral bacterial flora.","labels":1,"seconds_difference":5425.0,"score_ratio":2.4166666667}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1534v","c_root_id_B":"ea11s50","created_at_utc_A":1542633875,"created_at_utc_B":1542629214,"score_A":29,"score_B":10,"human_ref_A":"Just curious. Do you see a dentist regularly for check ups and cleanings? If so, have you brought this up already?   Some possibilities: Periodontal(gum) disease  Tonsil stones  Coated tongue  Xerostomia(dry mouth) Post nasal drip   Between your PCP and dentist, I hope they can help you get to the bottom of it, or at least refer you to a specialist (GI, ENT, etc)  Also, nothing to be embarrassed about! Let the professionals help you.   You can cross post this to r\/dentistry for more advice if you want.","human_ref_B":"Start using a tongue scraper, and rinse it with near-boiling water after every use. You might have a build up of bacteria on your tongue.   I'm pretty sure your wife knows you have bad breath. You don't really marry a person without knowing they have it. Hell, my husband snores in a bed three feet from me, and I can smell his breath, and vice versa, I'm sure. Tongue scraping helps.","labels":1,"seconds_difference":4661.0,"score_ratio":2.9}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea12i54","c_root_id_B":"ea1534v","created_at_utc_A":1542630370,"created_at_utc_B":1542633875,"score_A":9,"score_B":29,"human_ref_A":"You should really see a doctor to diagnose the exact origin of your issue.  It could be from your tonsils, sinus, lungs, esophagus, or many other things.   How would you describe the smell? Are you positive it is your saliva and not your breath or tongue? Or maybe it is both.   Anyway, go see a doctor.  Bad breath could be a symptom of something more serious (maybe not your case since you have it for a long time and you didnt say anything about other symptons). Most of the time it can be treated though.   And please talk to your wife. It is not fair with her, and she will understand you. There is nothing to be ashamed about it.","human_ref_B":"Just curious. Do you see a dentist regularly for check ups and cleanings? If so, have you brought this up already?   Some possibilities: Periodontal(gum) disease  Tonsil stones  Coated tongue  Xerostomia(dry mouth) Post nasal drip   Between your PCP and dentist, I hope they can help you get to the bottom of it, or at least refer you to a specialist (GI, ENT, etc)  Also, nothing to be embarrassed about! Let the professionals help you.   You can cross post this to r\/dentistry for more advice if you want.","labels":0,"seconds_difference":3505.0,"score_ratio":3.2222222222}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0yjwp","c_root_id_B":"ea1534v","created_at_utc_A":1542622869,"created_at_utc_B":1542633875,"score_A":8,"score_B":29,"human_ref_A":"Could be tonsil stones?","human_ref_B":"Just curious. Do you see a dentist regularly for check ups and cleanings? If so, have you brought this up already?   Some possibilities: Periodontal(gum) disease  Tonsil stones  Coated tongue  Xerostomia(dry mouth) Post nasal drip   Between your PCP and dentist, I hope they can help you get to the bottom of it, or at least refer you to a specialist (GI, ENT, etc)  Also, nothing to be embarrassed about! Let the professionals help you.   You can cross post this to r\/dentistry for more advice if you want.","labels":0,"seconds_difference":11006.0,"score_ratio":3.625}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1534v","c_root_id_B":"ea0t0vb","created_at_utc_A":1542633875,"created_at_utc_B":1542611934,"score_A":29,"score_B":3,"human_ref_A":"Just curious. Do you see a dentist regularly for check ups and cleanings? If so, have you brought this up already?   Some possibilities: Periodontal(gum) disease  Tonsil stones  Coated tongue  Xerostomia(dry mouth) Post nasal drip   Between your PCP and dentist, I hope they can help you get to the bottom of it, or at least refer you to a specialist (GI, ENT, etc)  Also, nothing to be embarrassed about! Let the professionals help you.   You can cross post this to r\/dentistry for more advice if you want.","human_ref_B":"Do you brush your tongue?","labels":1,"seconds_difference":21941.0,"score_ratio":9.6666666667}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0vnh8","c_root_id_B":"ea0suha","created_at_utc_A":1542616789,"created_at_utc_B":1542611629,"score_A":22,"score_B":13,"human_ref_A":"I have this problem as well, albeit not as extreme. If you find a solution I would very much like to know","human_ref_B":"Is your breathe bad? Does it hurt to swallow food sometimes? Are you on any medications?","labels":1,"seconds_difference":5160.0,"score_ratio":1.6923076923}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0t0vb","c_root_id_B":"ea0vnh8","created_at_utc_A":1542611934,"created_at_utc_B":1542616789,"score_A":3,"score_B":22,"human_ref_A":"Do you brush your tongue?","human_ref_B":"I have this problem as well, albeit not as extreme. If you find a solution I would very much like to know","labels":0,"seconds_difference":4855.0,"score_ratio":7.3333333333}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea11c4k","c_root_id_B":"ea0yjwp","created_at_utc_A":1542628450,"created_at_utc_B":1542622869,"score_A":12,"score_B":8,"human_ref_A":"I can\u2019t quite tell how you\u2019ve determined that your saliva smells, or if what you actually mean is that your breath smells. Saliva the is allowed to stand outside the mouth very shortly begins to smell terribly - this is the case for everyone, related to normal oral bacterial flora.","human_ref_B":"Could be tonsil stones?","labels":1,"seconds_difference":5581.0,"score_ratio":1.5}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea11c4k","c_root_id_B":"ea0t0vb","created_at_utc_A":1542628450,"created_at_utc_B":1542611934,"score_A":12,"score_B":3,"human_ref_A":"I can\u2019t quite tell how you\u2019ve determined that your saliva smells, or if what you actually mean is that your breath smells. Saliva the is allowed to stand outside the mouth very shortly begins to smell terribly - this is the case for everyone, related to normal oral bacterial flora.","human_ref_B":"Do you brush your tongue?","labels":1,"seconds_difference":16516.0,"score_ratio":4.0}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0yjwp","c_root_id_B":"ea11s50","created_at_utc_A":1542622869,"created_at_utc_B":1542629214,"score_A":8,"score_B":10,"human_ref_A":"Could be tonsil stones?","human_ref_B":"Start using a tongue scraper, and rinse it with near-boiling water after every use. You might have a build up of bacteria on your tongue.   I'm pretty sure your wife knows you have bad breath. You don't really marry a person without knowing they have it. Hell, my husband snores in a bed three feet from me, and I can smell his breath, and vice versa, I'm sure. Tongue scraping helps.","labels":0,"seconds_difference":6345.0,"score_ratio":1.25}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea11s50","c_root_id_B":"ea0t0vb","created_at_utc_A":1542629214,"created_at_utc_B":1542611934,"score_A":10,"score_B":3,"human_ref_A":"Start using a tongue scraper, and rinse it with near-boiling water after every use. You might have a build up of bacteria on your tongue.   I'm pretty sure your wife knows you have bad breath. You don't really marry a person without knowing they have it. Hell, my husband snores in a bed three feet from me, and I can smell his breath, and vice versa, I'm sure. Tongue scraping helps.","human_ref_B":"Do you brush your tongue?","labels":1,"seconds_difference":17280.0,"score_ratio":3.3333333333}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0yjwp","c_root_id_B":"ea12i54","created_at_utc_A":1542622869,"created_at_utc_B":1542630370,"score_A":8,"score_B":9,"human_ref_A":"Could be tonsil stones?","human_ref_B":"You should really see a doctor to diagnose the exact origin of your issue.  It could be from your tonsils, sinus, lungs, esophagus, or many other things.   How would you describe the smell? Are you positive it is your saliva and not your breath or tongue? Or maybe it is both.   Anyway, go see a doctor.  Bad breath could be a symptom of something more serious (maybe not your case since you have it for a long time and you didnt say anything about other symptons). Most of the time it can be treated though.   And please talk to your wife. It is not fair with her, and she will understand you. There is nothing to be ashamed about it.","labels":0,"seconds_difference":7501.0,"score_ratio":1.125}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea12i54","c_root_id_B":"ea0t0vb","created_at_utc_A":1542630370,"created_at_utc_B":1542611934,"score_A":9,"score_B":3,"human_ref_A":"You should really see a doctor to diagnose the exact origin of your issue.  It could be from your tonsils, sinus, lungs, esophagus, or many other things.   How would you describe the smell? Are you positive it is your saliva and not your breath or tongue? Or maybe it is both.   Anyway, go see a doctor.  Bad breath could be a symptom of something more serious (maybe not your case since you have it for a long time and you didnt say anything about other symptons). Most of the time it can be treated though.   And please talk to your wife. It is not fair with her, and she will understand you. There is nothing to be ashamed about it.","human_ref_B":"Do you brush your tongue?","labels":1,"seconds_difference":18436.0,"score_ratio":3.0}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0yjwp","c_root_id_B":"ea0t0vb","created_at_utc_A":1542622869,"created_at_utc_B":1542611934,"score_A":8,"score_B":3,"human_ref_A":"Could be tonsil stones?","human_ref_B":"Do you brush your tongue?","labels":1,"seconds_difference":10935.0,"score_ratio":2.6666666667}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea0t0vb","c_root_id_B":"ea1wkvo","created_at_utc_A":1542611934,"created_at_utc_B":1542656221,"score_A":3,"score_B":8,"human_ref_A":"Do you brush your tongue?","human_ref_B":"You should never be too embarrassed to tell your doctors anything.  We've heard everything before.  Also, tell your wife.","labels":0,"seconds_difference":44287.0,"score_ratio":2.6666666667}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1a77t","c_root_id_B":"ea1wkvo","created_at_utc_A":1542638711,"created_at_utc_B":1542656221,"score_A":4,"score_B":8,"human_ref_A":"Have you had feedback from someone else regarding your breath?  Because you trying to smell it yourself could be misleading.","human_ref_B":"You should never be too embarrassed to tell your doctors anything.  We've heard everything before.  Also, tell your wife.","labels":0,"seconds_difference":17510.0,"score_ratio":2.0}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1wkvo","c_root_id_B":"ea1g79k","created_at_utc_A":1542656221,"created_at_utc_B":1542643478,"score_A":8,"score_B":5,"human_ref_A":"You should never be too embarrassed to tell your doctors anything.  We've heard everything before.  Also, tell your wife.","human_ref_B":"See your doctor, it could be quite a few things. The vinegar smelling breath kinda makes me worried about some more serious things, but since you've been living with them your whole life it's probably not one of them. Talk to your PCP, tell them what you said, they may give you a referral.     Tell your wife why you don't kiss her. She'll understand.","labels":1,"seconds_difference":12743.0,"score_ratio":1.6}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1wkvo","c_root_id_B":"ea17kyx","created_at_utc_A":1542656221,"created_at_utc_B":1542636479,"score_A":8,"score_B":3,"human_ref_A":"You should never be too embarrassed to tell your doctors anything.  We've heard everything before.  Also, tell your wife.","human_ref_B":"Do you go for regular dental cleanings and check ups? You\u2019d be amazed how bad calculus buildup smells, esp once it progresses to gum disease.","labels":1,"seconds_difference":19742.0,"score_ratio":2.6666666667}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1wkvo","c_root_id_B":"ea1t3au","created_at_utc_A":1542656221,"created_at_utc_B":1542653467,"score_A":8,"score_B":3,"human_ref_A":"You should never be too embarrassed to tell your doctors anything.  We've heard everything before.  Also, tell your wife.","human_ref_B":"Have a dentist or someone in oral medicine check your saliva glands for blockage. Maybe take a sample of your saliva and test for bacteria, fungus.  ENT for tonsils and long shot post nasal drip causing it.  As far as your wife, it's better to talk about it and maybe just as good to get her genuine independent opinion on how bad it is, or isn't?","labels":1,"seconds_difference":2754.0,"score_ratio":2.6666666667}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1wkvo","c_root_id_B":"ea1d8qx","created_at_utc_A":1542656221,"created_at_utc_B":1542641149,"score_A":8,"score_B":2,"human_ref_A":"You should never be too embarrassed to tell your doctors anything.  We've heard everything before.  Also, tell your wife.","human_ref_B":"I just want to say... there are WAY WORSE THINGS you could be dealing with. I mean, more embarrassing. Please do not waste one more moment letting your wife think you don\u2019t love her.","labels":1,"seconds_difference":15072.0,"score_ratio":4.0}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1a77t","c_root_id_B":"ea0t0vb","created_at_utc_A":1542638711,"created_at_utc_B":1542611934,"score_A":4,"score_B":3,"human_ref_A":"Have you had feedback from someone else regarding your breath?  Because you trying to smell it yourself could be misleading.","human_ref_B":"Do you brush your tongue?","labels":1,"seconds_difference":26777.0,"score_ratio":1.3333333333}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1g79k","c_root_id_B":"ea0t0vb","created_at_utc_A":1542643478,"created_at_utc_B":1542611934,"score_A":5,"score_B":3,"human_ref_A":"See your doctor, it could be quite a few things. The vinegar smelling breath kinda makes me worried about some more serious things, but since you've been living with them your whole life it's probably not one of them. Talk to your PCP, tell them what you said, they may give you a referral.     Tell your wife why you don't kiss her. She'll understand.","human_ref_B":"Do you brush your tongue?","labels":1,"seconds_difference":31544.0,"score_ratio":1.6666666667}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1a77t","c_root_id_B":"ea1g79k","created_at_utc_A":1542638711,"created_at_utc_B":1542643478,"score_A":4,"score_B":5,"human_ref_A":"Have you had feedback from someone else regarding your breath?  Because you trying to smell it yourself could be misleading.","human_ref_B":"See your doctor, it could be quite a few things. The vinegar smelling breath kinda makes me worried about some more serious things, but since you've been living with them your whole life it's probably not one of them. Talk to your PCP, tell them what you said, they may give you a referral.     Tell your wife why you don't kiss her. She'll understand.","labels":0,"seconds_difference":4767.0,"score_ratio":1.25}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1a77t","c_root_id_B":"ea17kyx","created_at_utc_A":1542638711,"created_at_utc_B":1542636479,"score_A":4,"score_B":3,"human_ref_A":"Have you had feedback from someone else regarding your breath?  Because you trying to smell it yourself could be misleading.","human_ref_B":"Do you go for regular dental cleanings and check ups? You\u2019d be amazed how bad calculus buildup smells, esp once it progresses to gum disease.","labels":1,"seconds_difference":2232.0,"score_ratio":1.3333333333}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea17kyx","c_root_id_B":"ea1g79k","created_at_utc_A":1542636479,"created_at_utc_B":1542643478,"score_A":3,"score_B":5,"human_ref_A":"Do you go for regular dental cleanings and check ups? You\u2019d be amazed how bad calculus buildup smells, esp once it progresses to gum disease.","human_ref_B":"See your doctor, it could be quite a few things. The vinegar smelling breath kinda makes me worried about some more serious things, but since you've been living with them your whole life it's probably not one of them. Talk to your PCP, tell them what you said, they may give you a referral.     Tell your wife why you don't kiss her. She'll understand.","labels":0,"seconds_difference":6999.0,"score_ratio":1.6666666667}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1g79k","c_root_id_B":"ea1d8qx","created_at_utc_A":1542643478,"created_at_utc_B":1542641149,"score_A":5,"score_B":2,"human_ref_A":"See your doctor, it could be quite a few things. The vinegar smelling breath kinda makes me worried about some more serious things, but since you've been living with them your whole life it's probably not one of them. Talk to your PCP, tell them what you said, they may give you a referral.     Tell your wife why you don't kiss her. She'll understand.","human_ref_B":"I just want to say... there are WAY WORSE THINGS you could be dealing with. I mean, more embarrassing. Please do not waste one more moment letting your wife think you don\u2019t love her.","labels":1,"seconds_difference":2329.0,"score_ratio":2.5}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1t3au","c_root_id_B":"ea1d8qx","created_at_utc_A":1542653467,"created_at_utc_B":1542641149,"score_A":3,"score_B":2,"human_ref_A":"Have a dentist or someone in oral medicine check your saliva glands for blockage. Maybe take a sample of your saliva and test for bacteria, fungus.  ENT for tonsils and long shot post nasal drip causing it.  As far as your wife, it's better to talk about it and maybe just as good to get her genuine independent opinion on how bad it is, or isn't?","human_ref_B":"I just want to say... there are WAY WORSE THINGS you could be dealing with. I mean, more embarrassing. Please do not waste one more moment letting your wife think you don\u2019t love her.","labels":1,"seconds_difference":12318.0,"score_ratio":1.5}
-{"post_id":"9yeg6h","domain":"askdocs_test","upvote_ratio":0.95,"history":"My saliva has smelled bad my entire life. Never kissed my wife at our wedding and rarely will. Help me, to embarrassed to confront her or doctors about it. **28**  **Male**  **159lbs**  **6ft**  **White**  &#x200B;  My saliva has always smelled this way. I assume I was born this way and have been too embarrassed to confront doctors about this and especially my parents or siblings. No matter how much I brush my teeth, mouthwash or stay hydrated my saliva will always smell moldy or have a vinegar scent. I only kiss my wife with a peck on the lips and barely kissed her at our wedding. It is now starting to bother her that I dont kiss her, she is starting to believe I am either gay or dont love her. Please help me.","c_root_id_A":"ea1d8qx","c_root_id_B":"ea211g6","created_at_utc_A":1542641149,"created_at_utc_B":1542659645,"score_A":2,"score_B":3,"human_ref_A":"I just want to say... there are WAY WORSE THINGS you could be dealing with. I mean, more embarrassing. Please do not waste one more moment letting your wife think you don\u2019t love her.","human_ref_B":"As others have said, you need to get to the source of this problem as it could be indicative of a much larger problem that has nothing to do with your mouth. Tell you wife, \u201clook I\u2019ve been embarrassed to talk about it but I\u2019m now taking steps to try and find the source of my bad breath, and I\u2019m going to get to the bottom of. You may have noticed I don\u2019t like to kiss you often because I don\u2019t want to subject you to it, but that\u2019s going to change soon. Do you notice if it\u2019s worse sometimes?\u201d She might be a good source of information for you. Start with a dentist, then a an ear nose and throat doctor, then a gastroenterologist. I guarantee there\u2019s a cause for this that can be remedied. And your wife is your wife, she loves you and wouldn\u2019t steer support you through this than think you just don\u2019t want to be intimate with her. Good luck!","labels":0,"seconds_difference":18496.0,"score_ratio":1.5}
-{"post_id":"yfunc4","domain":"askdocs_test","upvote_ratio":0.96,"history":"(38M)Maybe tested positive for Factor V Leidan but have to wait a year My mom died from a series of strokes and tested positive for Leidan about 2009. I just now took the initiative to get tested finally and I can see online where they have the test results back and I'm identified as a \"carrier\" and they've scheduled a follow up with a hematologist for November 2023. I tried to call and see if they had any times sooner than that and was told in no uncertain terms that there wasn't any additional time.  My first question is whether or not waiting over a year is normal for seeing a hematologist? Should I try a different hospital? I feel like just reading the test results back to me shouldn't take that long.  My second question is whether or not I should be doing anything different in response to the \"carrier\" status. I'm not sure what that means.","c_root_id_A":"iu6fvmq","c_root_id_B":"iu6n5sf","created_at_utc_A":1666995552,"created_at_utc_B":1666999011,"score_A":10,"score_B":25,"human_ref_A":"I have no idea about the wait time thing.  Generally folks with FVL who\u2019ve never had blood clots don\u2019t need to do anything in particular. Probably best to avoid taking birth control pills with estrogen (which I assume you\u2019re not doing anyways), and if you\u2019re having any surgeries good to let them know. Otherwise no treatment is usually needed.","human_ref_B":"As a carrier (heterozygote -- you have one normal gene and one mutated gene), you are at somewhat increased risk for blood clots, and you also have a 50\/50 chance at passing your mutated factor V gene to your kids.  Your risk of having a clot is about 3-8x higher than the general population, but still low overall -- about 1 in 200 people who are Factor V Leiden carriers will have a clotting event in any given year.  You're male (I assume cis male?) so I don't need to tell you about pregnancy and contraceptive risks.  However, if you have daughters or sisters who've also inherited factor V Leiden, they may want to speak with their HCPs about this.  You shouldn't smoke tobacco period, but smoking is also an independent clotting risk factor that won't mix well with your factor V Leiden status.   I'm not aware of any medication you need to be on for your factor V Leiden status if you've never clotted.  The risk of taking anticoagualant medications outweighs the benefits to you right now.  More info: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK1368\/","labels":0,"seconds_difference":3459.0,"score_ratio":2.5}
-{"post_id":"yfunc4","domain":"askdocs_test","upvote_ratio":0.96,"history":"(38M)Maybe tested positive for Factor V Leidan but have to wait a year My mom died from a series of strokes and tested positive for Leidan about 2009. I just now took the initiative to get tested finally and I can see online where they have the test results back and I'm identified as a \"carrier\" and they've scheduled a follow up with a hematologist for November 2023. I tried to call and see if they had any times sooner than that and was told in no uncertain terms that there wasn't any additional time.  My first question is whether or not waiting over a year is normal for seeing a hematologist? Should I try a different hospital? I feel like just reading the test results back to me shouldn't take that long.  My second question is whether or not I should be doing anything different in response to the \"carrier\" status. I'm not sure what that means.","c_root_id_A":"iu6n5sf","c_root_id_B":"iu6g1q5","created_at_utc_A":1666999011,"created_at_utc_B":1666995632,"score_A":25,"score_B":6,"human_ref_A":"As a carrier (heterozygote -- you have one normal gene and one mutated gene), you are at somewhat increased risk for blood clots, and you also have a 50\/50 chance at passing your mutated factor V gene to your kids.  Your risk of having a clot is about 3-8x higher than the general population, but still low overall -- about 1 in 200 people who are Factor V Leiden carriers will have a clotting event in any given year.  You're male (I assume cis male?) so I don't need to tell you about pregnancy and contraceptive risks.  However, if you have daughters or sisters who've also inherited factor V Leiden, they may want to speak with their HCPs about this.  You shouldn't smoke tobacco period, but smoking is also an independent clotting risk factor that won't mix well with your factor V Leiden status.   I'm not aware of any medication you need to be on for your factor V Leiden status if you've never clotted.  The risk of taking anticoagualant medications outweighs the benefits to you right now.  More info: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK1368\/","human_ref_B":"That sounds exceptionally long to me. Perhaps shop for an alternative provider\/second opinion?","labels":1,"seconds_difference":3379.0,"score_ratio":4.1666666667}
-{"post_id":"lf5e36","domain":"askdocs_test","upvote_ratio":0.97,"history":"I (25F) have been vomiting for months post-surgery. I'm at my wits' end. I had my gallbladder removed in June due to frequent vomiting and fatigue, it was full of sludge but no stones. The first week and a half I ate maybe four times, and just about a cup of soup. Otherwise I only ingested pedialyte. After that first week and a half, the vomiting reappeared. Since then, I usually vomit at least once a day, no matter what I eat. I've always been pretty health conscious and eat well. I restricted my diet more, still vomiting. Sometimes I don't eat, and once again, vomiting. It's almost always bright yellow\/orange bile, food, or blood. I assume the blood is the stomach acid tearing up my throat. I get dizzy, see what look like shooting stars, and have passed out once.   I have terrible insurance. I'm poor. But I've been able to splurge and see a doctor a couple times. It's always the same answer, \"here's some antinausea\". They don't work. I vomit them back up with bitter bile. I have endometriosis as well, and pediatric onset glaucoma (inherited). I feel like I'm getting weaker, I've lost several pounds recently. I'm losing it, I don't know what to do. I've figured out I can have certain 2oz P3s (diced meat, cheese and nuts) or about half a ham sandwich (no cheese, no condiments) if I rest afterwards. I work 10 hours a day, usually 50 hours a week, and usually this has to be an after work dinner thing (if I move around afterwards I will vomit).  What can I personally do to combat this? I can't afford to keep seeing doctors for no treatment. I definitely can't afford a specialist. This is destroying my life.","c_root_id_A":"gmk05f7","c_root_id_B":"gmkmb5f","created_at_utc_A":1612764129,"created_at_utc_B":1612784681,"score_A":14,"score_B":21,"human_ref_A":"Have you heard of cyclical vomiting syndrome?","human_ref_B":"Not a doctor, but was the reason that you had your gallbladder removed vomiting? I would gamble that potentially the cause of your vomiting wasn\u2019t your gallbladder and the root cause still remains. Going back to square one with your doctor would be my best recommendation. I know this isn\u2019t answering your question, but hopefully you have answers soon and I wish you all the best!","labels":0,"seconds_difference":20552.0,"score_ratio":1.5}
-{"post_id":"lf5e36","domain":"askdocs_test","upvote_ratio":0.97,"history":"I (25F) have been vomiting for months post-surgery. I'm at my wits' end. I had my gallbladder removed in June due to frequent vomiting and fatigue, it was full of sludge but no stones. The first week and a half I ate maybe four times, and just about a cup of soup. Otherwise I only ingested pedialyte. After that first week and a half, the vomiting reappeared. Since then, I usually vomit at least once a day, no matter what I eat. I've always been pretty health conscious and eat well. I restricted my diet more, still vomiting. Sometimes I don't eat, and once again, vomiting. It's almost always bright yellow\/orange bile, food, or blood. I assume the blood is the stomach acid tearing up my throat. I get dizzy, see what look like shooting stars, and have passed out once.   I have terrible insurance. I'm poor. But I've been able to splurge and see a doctor a couple times. It's always the same answer, \"here's some antinausea\". They don't work. I vomit them back up with bitter bile. I have endometriosis as well, and pediatric onset glaucoma (inherited). I feel like I'm getting weaker, I've lost several pounds recently. I'm losing it, I don't know what to do. I've figured out I can have certain 2oz P3s (diced meat, cheese and nuts) or about half a ham sandwich (no cheese, no condiments) if I rest afterwards. I work 10 hours a day, usually 50 hours a week, and usually this has to be an after work dinner thing (if I move around afterwards I will vomit).  What can I personally do to combat this? I can't afford to keep seeing doctors for no treatment. I definitely can't afford a specialist. This is destroying my life.","c_root_id_A":"gmjzzdf","c_root_id_B":"gmkmb5f","created_at_utc_A":1612764001,"created_at_utc_B":1612784681,"score_A":4,"score_B":21,"human_ref_A":"I am not a doctor and I know it's not the answer you are looking for but you may need to reach out directly to your surgeon.","human_ref_B":"Not a doctor, but was the reason that you had your gallbladder removed vomiting? I would gamble that potentially the cause of your vomiting wasn\u2019t your gallbladder and the root cause still remains. Going back to square one with your doctor would be my best recommendation. I know this isn\u2019t answering your question, but hopefully you have answers soon and I wish you all the best!","labels":0,"seconds_difference":20680.0,"score_ratio":5.25}
-{"post_id":"lf5e36","domain":"askdocs_test","upvote_ratio":0.97,"history":"I (25F) have been vomiting for months post-surgery. I'm at my wits' end. I had my gallbladder removed in June due to frequent vomiting and fatigue, it was full of sludge but no stones. The first week and a half I ate maybe four times, and just about a cup of soup. Otherwise I only ingested pedialyte. After that first week and a half, the vomiting reappeared. Since then, I usually vomit at least once a day, no matter what I eat. I've always been pretty health conscious and eat well. I restricted my diet more, still vomiting. Sometimes I don't eat, and once again, vomiting. It's almost always bright yellow\/orange bile, food, or blood. I assume the blood is the stomach acid tearing up my throat. I get dizzy, see what look like shooting stars, and have passed out once.   I have terrible insurance. I'm poor. But I've been able to splurge and see a doctor a couple times. It's always the same answer, \"here's some antinausea\". They don't work. I vomit them back up with bitter bile. I have endometriosis as well, and pediatric onset glaucoma (inherited). I feel like I'm getting weaker, I've lost several pounds recently. I'm losing it, I don't know what to do. I've figured out I can have certain 2oz P3s (diced meat, cheese and nuts) or about half a ham sandwich (no cheese, no condiments) if I rest afterwards. I work 10 hours a day, usually 50 hours a week, and usually this has to be an after work dinner thing (if I move around afterwards I will vomit).  What can I personally do to combat this? I can't afford to keep seeing doctors for no treatment. I definitely can't afford a specialist. This is destroying my life.","c_root_id_A":"gmk05f7","c_root_id_B":"gmjzzdf","created_at_utc_A":1612764129,"created_at_utc_B":1612764001,"score_A":14,"score_B":4,"human_ref_A":"Have you heard of cyclical vomiting syndrome?","human_ref_B":"I am not a doctor and I know it's not the answer you are looking for but you may need to reach out directly to your surgeon.","labels":1,"seconds_difference":128.0,"score_ratio":3.5}
-{"post_id":"lf5e36","domain":"askdocs_test","upvote_ratio":0.97,"history":"I (25F) have been vomiting for months post-surgery. I'm at my wits' end. I had my gallbladder removed in June due to frequent vomiting and fatigue, it was full of sludge but no stones. The first week and a half I ate maybe four times, and just about a cup of soup. Otherwise I only ingested pedialyte. After that first week and a half, the vomiting reappeared. Since then, I usually vomit at least once a day, no matter what I eat. I've always been pretty health conscious and eat well. I restricted my diet more, still vomiting. Sometimes I don't eat, and once again, vomiting. It's almost always bright yellow\/orange bile, food, or blood. I assume the blood is the stomach acid tearing up my throat. I get dizzy, see what look like shooting stars, and have passed out once.   I have terrible insurance. I'm poor. But I've been able to splurge and see a doctor a couple times. It's always the same answer, \"here's some antinausea\". They don't work. I vomit them back up with bitter bile. I have endometriosis as well, and pediatric onset glaucoma (inherited). I feel like I'm getting weaker, I've lost several pounds recently. I'm losing it, I don't know what to do. I've figured out I can have certain 2oz P3s (diced meat, cheese and nuts) or about half a ham sandwich (no cheese, no condiments) if I rest afterwards. I work 10 hours a day, usually 50 hours a week, and usually this has to be an after work dinner thing (if I move around afterwards I will vomit).  What can I personally do to combat this? I can't afford to keep seeing doctors for no treatment. I definitely can't afford a specialist. This is destroying my life.","c_root_id_A":"gmmmerr","c_root_id_B":"gmlzpb5","created_at_utc_A":1612820855,"created_at_utc_B":1612810615,"score_A":9,"score_B":6,"human_ref_A":"Did your symptoms of vomiting start before your gallbladder surgery? Since only sludge was found, it makes me curious if your gallbladder was not the source of your symptoms to begin with. It can be hard to determine, since there is such a wide differential for vomiting.  Can you describe the timing of your symptoms in a bit more detail? You said it's usually at least once a day. Does it happen immediately after eating, a couple of hours after eating, or is it not associated with eating at all? Does it seem to be exacerbated by any foods in particular, such as acidic spicy foods, or foods with gluten? And what kinds of tests have you done so far to get this evaluated?","human_ref_B":"Have you followed up with GI since your surgery? If you have the same Symptoms as before your cholecystectomy then that warrants further investigation.","labels":1,"seconds_difference":10240.0,"score_ratio":1.5}
-{"post_id":"lf5e36","domain":"askdocs_test","upvote_ratio":0.97,"history":"I (25F) have been vomiting for months post-surgery. I'm at my wits' end. I had my gallbladder removed in June due to frequent vomiting and fatigue, it was full of sludge but no stones. The first week and a half I ate maybe four times, and just about a cup of soup. Otherwise I only ingested pedialyte. After that first week and a half, the vomiting reappeared. Since then, I usually vomit at least once a day, no matter what I eat. I've always been pretty health conscious and eat well. I restricted my diet more, still vomiting. Sometimes I don't eat, and once again, vomiting. It's almost always bright yellow\/orange bile, food, or blood. I assume the blood is the stomach acid tearing up my throat. I get dizzy, see what look like shooting stars, and have passed out once.   I have terrible insurance. I'm poor. But I've been able to splurge and see a doctor a couple times. It's always the same answer, \"here's some antinausea\". They don't work. I vomit them back up with bitter bile. I have endometriosis as well, and pediatric onset glaucoma (inherited). I feel like I'm getting weaker, I've lost several pounds recently. I'm losing it, I don't know what to do. I've figured out I can have certain 2oz P3s (diced meat, cheese and nuts) or about half a ham sandwich (no cheese, no condiments) if I rest afterwards. I work 10 hours a day, usually 50 hours a week, and usually this has to be an after work dinner thing (if I move around afterwards I will vomit).  What can I personally do to combat this? I can't afford to keep seeing doctors for no treatment. I definitely can't afford a specialist. This is destroying my life.","c_root_id_A":"gmmmerr","c_root_id_B":"gmjzzdf","created_at_utc_A":1612820855,"created_at_utc_B":1612764001,"score_A":9,"score_B":4,"human_ref_A":"Did your symptoms of vomiting start before your gallbladder surgery? Since only sludge was found, it makes me curious if your gallbladder was not the source of your symptoms to begin with. It can be hard to determine, since there is such a wide differential for vomiting.  Can you describe the timing of your symptoms in a bit more detail? You said it's usually at least once a day. Does it happen immediately after eating, a couple of hours after eating, or is it not associated with eating at all? Does it seem to be exacerbated by any foods in particular, such as acidic spicy foods, or foods with gluten? And what kinds of tests have you done so far to get this evaluated?","human_ref_B":"I am not a doctor and I know it's not the answer you are looking for but you may need to reach out directly to your surgeon.","labels":1,"seconds_difference":56854.0,"score_ratio":2.25}
-{"post_id":"lf5e36","domain":"askdocs_test","upvote_ratio":0.97,"history":"I (25F) have been vomiting for months post-surgery. I'm at my wits' end. I had my gallbladder removed in June due to frequent vomiting and fatigue, it was full of sludge but no stones. The first week and a half I ate maybe four times, and just about a cup of soup. Otherwise I only ingested pedialyte. After that first week and a half, the vomiting reappeared. Since then, I usually vomit at least once a day, no matter what I eat. I've always been pretty health conscious and eat well. I restricted my diet more, still vomiting. Sometimes I don't eat, and once again, vomiting. It's almost always bright yellow\/orange bile, food, or blood. I assume the blood is the stomach acid tearing up my throat. I get dizzy, see what look like shooting stars, and have passed out once.   I have terrible insurance. I'm poor. But I've been able to splurge and see a doctor a couple times. It's always the same answer, \"here's some antinausea\". They don't work. I vomit them back up with bitter bile. I have endometriosis as well, and pediatric onset glaucoma (inherited). I feel like I'm getting weaker, I've lost several pounds recently. I'm losing it, I don't know what to do. I've figured out I can have certain 2oz P3s (diced meat, cheese and nuts) or about half a ham sandwich (no cheese, no condiments) if I rest afterwards. I work 10 hours a day, usually 50 hours a week, and usually this has to be an after work dinner thing (if I move around afterwards I will vomit).  What can I personally do to combat this? I can't afford to keep seeing doctors for no treatment. I definitely can't afford a specialist. This is destroying my life.","c_root_id_A":"gml7hm4","c_root_id_B":"gmmmerr","created_at_utc_A":1612797888,"created_at_utc_B":1612820855,"score_A":3,"score_B":9,"human_ref_A":"Do you have any symptoms of MALS or gastroparesis?","human_ref_B":"Did your symptoms of vomiting start before your gallbladder surgery? Since only sludge was found, it makes me curious if your gallbladder was not the source of your symptoms to begin with. It can be hard to determine, since there is such a wide differential for vomiting.  Can you describe the timing of your symptoms in a bit more detail? You said it's usually at least once a day. Does it happen immediately after eating, a couple of hours after eating, or is it not associated with eating at all? Does it seem to be exacerbated by any foods in particular, such as acidic spicy foods, or foods with gluten? And what kinds of tests have you done so far to get this evaluated?","labels":0,"seconds_difference":22967.0,"score_ratio":3.0}
-{"post_id":"lf5e36","domain":"askdocs_test","upvote_ratio":0.97,"history":"I (25F) have been vomiting for months post-surgery. I'm at my wits' end. I had my gallbladder removed in June due to frequent vomiting and fatigue, it was full of sludge but no stones. The first week and a half I ate maybe four times, and just about a cup of soup. Otherwise I only ingested pedialyte. After that first week and a half, the vomiting reappeared. Since then, I usually vomit at least once a day, no matter what I eat. I've always been pretty health conscious and eat well. I restricted my diet more, still vomiting. Sometimes I don't eat, and once again, vomiting. It's almost always bright yellow\/orange bile, food, or blood. I assume the blood is the stomach acid tearing up my throat. I get dizzy, see what look like shooting stars, and have passed out once.   I have terrible insurance. I'm poor. But I've been able to splurge and see a doctor a couple times. It's always the same answer, \"here's some antinausea\". They don't work. I vomit them back up with bitter bile. I have endometriosis as well, and pediatric onset glaucoma (inherited). I feel like I'm getting weaker, I've lost several pounds recently. I'm losing it, I don't know what to do. I've figured out I can have certain 2oz P3s (diced meat, cheese and nuts) or about half a ham sandwich (no cheese, no condiments) if I rest afterwards. I work 10 hours a day, usually 50 hours a week, and usually this has to be an after work dinner thing (if I move around afterwards I will vomit).  What can I personally do to combat this? I can't afford to keep seeing doctors for no treatment. I definitely can't afford a specialist. This is destroying my life.","c_root_id_A":"gmksso5","c_root_id_B":"gmmmerr","created_at_utc_A":1612789694,"created_at_utc_B":1612820855,"score_A":2,"score_B":9,"human_ref_A":"Do you consume cannabis?  Based on your description, If you were vomiting before your surgery and now are still vomiting it\u2019s not clear whether the surgery or your gallbladder had anything to do with it.   Too many questions that can\u2019t be answered here effectively. If you smoke (or eat) lots of cannabis that can be a cause of vomiting. Easing back may help.   Beyond that there are too many things that could be causing or contributing and you would likely best be served by a gastroenterologist. I know you mentioned you can\u2019t afford a specialist though, so it\u2019s tough to help except to say that your vote matters.","human_ref_B":"Did your symptoms of vomiting start before your gallbladder surgery? Since only sludge was found, it makes me curious if your gallbladder was not the source of your symptoms to begin with. It can be hard to determine, since there is such a wide differential for vomiting.  Can you describe the timing of your symptoms in a bit more detail? You said it's usually at least once a day. Does it happen immediately after eating, a couple of hours after eating, or is it not associated with eating at all? Does it seem to be exacerbated by any foods in particular, such as acidic spicy foods, or foods with gluten? And what kinds of tests have you done so far to get this evaluated?","labels":0,"seconds_difference":31161.0,"score_ratio":4.5}
-{"post_id":"lf5e36","domain":"askdocs_test","upvote_ratio":0.97,"history":"I (25F) have been vomiting for months post-surgery. I'm at my wits' end. I had my gallbladder removed in June due to frequent vomiting and fatigue, it was full of sludge but no stones. The first week and a half I ate maybe four times, and just about a cup of soup. Otherwise I only ingested pedialyte. After that first week and a half, the vomiting reappeared. Since then, I usually vomit at least once a day, no matter what I eat. I've always been pretty health conscious and eat well. I restricted my diet more, still vomiting. Sometimes I don't eat, and once again, vomiting. It's almost always bright yellow\/orange bile, food, or blood. I assume the blood is the stomach acid tearing up my throat. I get dizzy, see what look like shooting stars, and have passed out once.   I have terrible insurance. I'm poor. But I've been able to splurge and see a doctor a couple times. It's always the same answer, \"here's some antinausea\". They don't work. I vomit them back up with bitter bile. I have endometriosis as well, and pediatric onset glaucoma (inherited). I feel like I'm getting weaker, I've lost several pounds recently. I'm losing it, I don't know what to do. I've figured out I can have certain 2oz P3s (diced meat, cheese and nuts) or about half a ham sandwich (no cheese, no condiments) if I rest afterwards. I work 10 hours a day, usually 50 hours a week, and usually this has to be an after work dinner thing (if I move around afterwards I will vomit).  What can I personally do to combat this? I can't afford to keep seeing doctors for no treatment. I definitely can't afford a specialist. This is destroying my life.","c_root_id_A":"gmmmerr","c_root_id_B":"gml53wl","created_at_utc_A":1612820855,"created_at_utc_B":1612796735,"score_A":9,"score_B":2,"human_ref_A":"Did your symptoms of vomiting start before your gallbladder surgery? Since only sludge was found, it makes me curious if your gallbladder was not the source of your symptoms to begin with. It can be hard to determine, since there is such a wide differential for vomiting.  Can you describe the timing of your symptoms in a bit more detail? You said it's usually at least once a day. Does it happen immediately after eating, a couple of hours after eating, or is it not associated with eating at all? Does it seem to be exacerbated by any foods in particular, such as acidic spicy foods, or foods with gluten? And what kinds of tests have you done so far to get this evaluated?","human_ref_B":"Not a doctor. I've had my gallbladder removed and one of the things I was told post surgery is to avoid fats. The gallbladder processes a lot of fats. As well, you'll be getting more bile acids from the liver dumped directly into your GI tract, which can cause diarrhea and vomiting.   I ended up going onto a PPI and some other medications to reduce acids afterward (I do have Crohns so this solution may not work for you, but definitely something you can ask your doctor about).   Good luck OP, hope you get some answers.","labels":1,"seconds_difference":24120.0,"score_ratio":4.5}
-{"post_id":"lf5e36","domain":"askdocs_test","upvote_ratio":0.97,"history":"I (25F) have been vomiting for months post-surgery. I'm at my wits' end. I had my gallbladder removed in June due to frequent vomiting and fatigue, it was full of sludge but no stones. The first week and a half I ate maybe four times, and just about a cup of soup. Otherwise I only ingested pedialyte. After that first week and a half, the vomiting reappeared. Since then, I usually vomit at least once a day, no matter what I eat. I've always been pretty health conscious and eat well. I restricted my diet more, still vomiting. Sometimes I don't eat, and once again, vomiting. It's almost always bright yellow\/orange bile, food, or blood. I assume the blood is the stomach acid tearing up my throat. I get dizzy, see what look like shooting stars, and have passed out once.   I have terrible insurance. I'm poor. But I've been able to splurge and see a doctor a couple times. It's always the same answer, \"here's some antinausea\". They don't work. I vomit them back up with bitter bile. I have endometriosis as well, and pediatric onset glaucoma (inherited). I feel like I'm getting weaker, I've lost several pounds recently. I'm losing it, I don't know what to do. I've figured out I can have certain 2oz P3s (diced meat, cheese and nuts) or about half a ham sandwich (no cheese, no condiments) if I rest afterwards. I work 10 hours a day, usually 50 hours a week, and usually this has to be an after work dinner thing (if I move around afterwards I will vomit).  What can I personally do to combat this? I can't afford to keep seeing doctors for no treatment. I definitely can't afford a specialist. This is destroying my life.","c_root_id_A":"gmjzzdf","c_root_id_B":"gmlzpb5","created_at_utc_A":1612764001,"created_at_utc_B":1612810615,"score_A":4,"score_B":6,"human_ref_A":"I am not a doctor and I know it's not the answer you are looking for but you may need to reach out directly to your surgeon.","human_ref_B":"Have you followed up with GI since your surgery? If you have the same Symptoms as before your cholecystectomy then that warrants further investigation.","labels":0,"seconds_difference":46614.0,"score_ratio":1.5}
-{"post_id":"lf5e36","domain":"askdocs_test","upvote_ratio":0.97,"history":"I (25F) have been vomiting for months post-surgery. I'm at my wits' end. I had my gallbladder removed in June due to frequent vomiting and fatigue, it was full of sludge but no stones. The first week and a half I ate maybe four times, and just about a cup of soup. Otherwise I only ingested pedialyte. After that first week and a half, the vomiting reappeared. Since then, I usually vomit at least once a day, no matter what I eat. I've always been pretty health conscious and eat well. I restricted my diet more, still vomiting. Sometimes I don't eat, and once again, vomiting. It's almost always bright yellow\/orange bile, food, or blood. I assume the blood is the stomach acid tearing up my throat. I get dizzy, see what look like shooting stars, and have passed out once.   I have terrible insurance. I'm poor. But I've been able to splurge and see a doctor a couple times. It's always the same answer, \"here's some antinausea\". They don't work. I vomit them back up with bitter bile. I have endometriosis as well, and pediatric onset glaucoma (inherited). I feel like I'm getting weaker, I've lost several pounds recently. I'm losing it, I don't know what to do. I've figured out I can have certain 2oz P3s (diced meat, cheese and nuts) or about half a ham sandwich (no cheese, no condiments) if I rest afterwards. I work 10 hours a day, usually 50 hours a week, and usually this has to be an after work dinner thing (if I move around afterwards I will vomit).  What can I personally do to combat this? I can't afford to keep seeing doctors for no treatment. I definitely can't afford a specialist. This is destroying my life.","c_root_id_A":"gml7hm4","c_root_id_B":"gmlzpb5","created_at_utc_A":1612797888,"created_at_utc_B":1612810615,"score_A":3,"score_B":6,"human_ref_A":"Do you have any symptoms of MALS or gastroparesis?","human_ref_B":"Have you followed up with GI since your surgery? If you have the same Symptoms as before your cholecystectomy then that warrants further investigation.","labels":0,"seconds_difference":12727.0,"score_ratio":2.0}
-{"post_id":"lf5e36","domain":"askdocs_test","upvote_ratio":0.97,"history":"I (25F) have been vomiting for months post-surgery. I'm at my wits' end. I had my gallbladder removed in June due to frequent vomiting and fatigue, it was full of sludge but no stones. The first week and a half I ate maybe four times, and just about a cup of soup. Otherwise I only ingested pedialyte. After that first week and a half, the vomiting reappeared. Since then, I usually vomit at least once a day, no matter what I eat. I've always been pretty health conscious and eat well. I restricted my diet more, still vomiting. Sometimes I don't eat, and once again, vomiting. It's almost always bright yellow\/orange bile, food, or blood. I assume the blood is the stomach acid tearing up my throat. I get dizzy, see what look like shooting stars, and have passed out once.   I have terrible insurance. I'm poor. But I've been able to splurge and see a doctor a couple times. It's always the same answer, \"here's some antinausea\". They don't work. I vomit them back up with bitter bile. I have endometriosis as well, and pediatric onset glaucoma (inherited). I feel like I'm getting weaker, I've lost several pounds recently. I'm losing it, I don't know what to do. I've figured out I can have certain 2oz P3s (diced meat, cheese and nuts) or about half a ham sandwich (no cheese, no condiments) if I rest afterwards. I work 10 hours a day, usually 50 hours a week, and usually this has to be an after work dinner thing (if I move around afterwards I will vomit).  What can I personally do to combat this? I can't afford to keep seeing doctors for no treatment. I definitely can't afford a specialist. This is destroying my life.","c_root_id_A":"gmlzpb5","c_root_id_B":"gmksso5","created_at_utc_A":1612810615,"created_at_utc_B":1612789694,"score_A":6,"score_B":2,"human_ref_A":"Have you followed up with GI since your surgery? If you have the same Symptoms as before your cholecystectomy then that warrants further investigation.","human_ref_B":"Do you consume cannabis?  Based on your description, If you were vomiting before your surgery and now are still vomiting it\u2019s not clear whether the surgery or your gallbladder had anything to do with it.   Too many questions that can\u2019t be answered here effectively. If you smoke (or eat) lots of cannabis that can be a cause of vomiting. Easing back may help.   Beyond that there are too many things that could be causing or contributing and you would likely best be served by a gastroenterologist. I know you mentioned you can\u2019t afford a specialist though, so it\u2019s tough to help except to say that your vote matters.","labels":1,"seconds_difference":20921.0,"score_ratio":3.0}
-{"post_id":"lf5e36","domain":"askdocs_test","upvote_ratio":0.97,"history":"I (25F) have been vomiting for months post-surgery. I'm at my wits' end. I had my gallbladder removed in June due to frequent vomiting and fatigue, it was full of sludge but no stones. The first week and a half I ate maybe four times, and just about a cup of soup. Otherwise I only ingested pedialyte. After that first week and a half, the vomiting reappeared. Since then, I usually vomit at least once a day, no matter what I eat. I've always been pretty health conscious and eat well. I restricted my diet more, still vomiting. Sometimes I don't eat, and once again, vomiting. It's almost always bright yellow\/orange bile, food, or blood. I assume the blood is the stomach acid tearing up my throat. I get dizzy, see what look like shooting stars, and have passed out once.   I have terrible insurance. I'm poor. But I've been able to splurge and see a doctor a couple times. It's always the same answer, \"here's some antinausea\". They don't work. I vomit them back up with bitter bile. I have endometriosis as well, and pediatric onset glaucoma (inherited). I feel like I'm getting weaker, I've lost several pounds recently. I'm losing it, I don't know what to do. I've figured out I can have certain 2oz P3s (diced meat, cheese and nuts) or about half a ham sandwich (no cheese, no condiments) if I rest afterwards. I work 10 hours a day, usually 50 hours a week, and usually this has to be an after work dinner thing (if I move around afterwards I will vomit).  What can I personally do to combat this? I can't afford to keep seeing doctors for no treatment. I definitely can't afford a specialist. This is destroying my life.","c_root_id_A":"gmlzpb5","c_root_id_B":"gml53wl","created_at_utc_A":1612810615,"created_at_utc_B":1612796735,"score_A":6,"score_B":2,"human_ref_A":"Have you followed up with GI since your surgery? If you have the same Symptoms as before your cholecystectomy then that warrants further investigation.","human_ref_B":"Not a doctor. I've had my gallbladder removed and one of the things I was told post surgery is to avoid fats. The gallbladder processes a lot of fats. As well, you'll be getting more bile acids from the liver dumped directly into your GI tract, which can cause diarrhea and vomiting.   I ended up going onto a PPI and some other medications to reduce acids afterward (I do have Crohns so this solution may not work for you, but definitely something you can ask your doctor about).   Good luck OP, hope you get some answers.","labels":1,"seconds_difference":13880.0,"score_ratio":3.0}
-{"post_id":"lf5e36","domain":"askdocs_test","upvote_ratio":0.97,"history":"I (25F) have been vomiting for months post-surgery. I'm at my wits' end. I had my gallbladder removed in June due to frequent vomiting and fatigue, it was full of sludge but no stones. The first week and a half I ate maybe four times, and just about a cup of soup. Otherwise I only ingested pedialyte. After that first week and a half, the vomiting reappeared. Since then, I usually vomit at least once a day, no matter what I eat. I've always been pretty health conscious and eat well. I restricted my diet more, still vomiting. Sometimes I don't eat, and once again, vomiting. It's almost always bright yellow\/orange bile, food, or blood. I assume the blood is the stomach acid tearing up my throat. I get dizzy, see what look like shooting stars, and have passed out once.   I have terrible insurance. I'm poor. But I've been able to splurge and see a doctor a couple times. It's always the same answer, \"here's some antinausea\". They don't work. I vomit them back up with bitter bile. I have endometriosis as well, and pediatric onset glaucoma (inherited). I feel like I'm getting weaker, I've lost several pounds recently. I'm losing it, I don't know what to do. I've figured out I can have certain 2oz P3s (diced meat, cheese and nuts) or about half a ham sandwich (no cheese, no condiments) if I rest afterwards. I work 10 hours a day, usually 50 hours a week, and usually this has to be an after work dinner thing (if I move around afterwards I will vomit).  What can I personally do to combat this? I can't afford to keep seeing doctors for no treatment. I definitely can't afford a specialist. This is destroying my life.","c_root_id_A":"gml7hm4","c_root_id_B":"gmksso5","created_at_utc_A":1612797888,"created_at_utc_B":1612789694,"score_A":3,"score_B":2,"human_ref_A":"Do you have any symptoms of MALS or gastroparesis?","human_ref_B":"Do you consume cannabis?  Based on your description, If you were vomiting before your surgery and now are still vomiting it\u2019s not clear whether the surgery or your gallbladder had anything to do with it.   Too many questions that can\u2019t be answered here effectively. If you smoke (or eat) lots of cannabis that can be a cause of vomiting. Easing back may help.   Beyond that there are too many things that could be causing or contributing and you would likely best be served by a gastroenterologist. I know you mentioned you can\u2019t afford a specialist though, so it\u2019s tough to help except to say that your vote matters.","labels":1,"seconds_difference":8194.0,"score_ratio":1.5}
-{"post_id":"lf5e36","domain":"askdocs_test","upvote_ratio":0.97,"history":"I (25F) have been vomiting for months post-surgery. I'm at my wits' end. I had my gallbladder removed in June due to frequent vomiting and fatigue, it was full of sludge but no stones. The first week and a half I ate maybe four times, and just about a cup of soup. Otherwise I only ingested pedialyte. After that first week and a half, the vomiting reappeared. Since then, I usually vomit at least once a day, no matter what I eat. I've always been pretty health conscious and eat well. I restricted my diet more, still vomiting. Sometimes I don't eat, and once again, vomiting. It's almost always bright yellow\/orange bile, food, or blood. I assume the blood is the stomach acid tearing up my throat. I get dizzy, see what look like shooting stars, and have passed out once.   I have terrible insurance. I'm poor. But I've been able to splurge and see a doctor a couple times. It's always the same answer, \"here's some antinausea\". They don't work. I vomit them back up with bitter bile. I have endometriosis as well, and pediatric onset glaucoma (inherited). I feel like I'm getting weaker, I've lost several pounds recently. I'm losing it, I don't know what to do. I've figured out I can have certain 2oz P3s (diced meat, cheese and nuts) or about half a ham sandwich (no cheese, no condiments) if I rest afterwards. I work 10 hours a day, usually 50 hours a week, and usually this has to be an after work dinner thing (if I move around afterwards I will vomit).  What can I personally do to combat this? I can't afford to keep seeing doctors for no treatment. I definitely can't afford a specialist. This is destroying my life.","c_root_id_A":"gml7hm4","c_root_id_B":"gml53wl","created_at_utc_A":1612797888,"created_at_utc_B":1612796735,"score_A":3,"score_B":2,"human_ref_A":"Do you have any symptoms of MALS or gastroparesis?","human_ref_B":"Not a doctor. I've had my gallbladder removed and one of the things I was told post surgery is to avoid fats. The gallbladder processes a lot of fats. As well, you'll be getting more bile acids from the liver dumped directly into your GI tract, which can cause diarrhea and vomiting.   I ended up going onto a PPI and some other medications to reduce acids afterward (I do have Crohns so this solution may not work for you, but definitely something you can ask your doctor about).   Good luck OP, hope you get some answers.","labels":1,"seconds_difference":1153.0,"score_ratio":1.5}
-{"post_id":"of6h4t","domain":"askdocs_test","upvote_ratio":0.98,"history":"Hypersomnia. I sleep 16 hours a day. Its ruining my life. 31F \/ average BMI\/cannabis socially\/paxil 20mg  Help! Im exhausted all the time. I sleep any and every chance i get. Including in my car on my lunch break. I feel like its almost unfightable, the urge to sleep.   My doctor has run tests, scans and sleep studies but so far there is no medical reason for my fatigue. Im at the end of my rope with this, its effecting every part of my life negatively. I just want to feel normal and maybe make it through a work day with no nap.  Please.. Any help or ideas would be welcome. My life is being ruined by this constant exhaustion. I have no free time because i am ALWAYS SLEEPING or fighting sleep.","c_root_id_A":"h4c6yv3","c_root_id_B":"h4d4aoi","created_at_utc_A":1625652354,"created_at_utc_B":1625672233,"score_A":3,"score_B":6,"human_ref_A":"I'm in a similar boat, actually I'm in the middle of an Actigraphy monitor test to be followed by a sleep study.  I was put on modafinil (provigil) before my Actigraphy test started. It was a game changer. I'm chomping at the bit to get back on it. My doctor has otherwise talked about putting me on a stimulant to address my constant exhaustion, which we haven't tried yet.  Until then I'm abusing caffeine. I had almost 700mg yesterday to get through my day. It's the only other thing that I know of that's easily accessible that works. I'm using the eMoods tracker to track caffeine intake and fatigue levels, and boy howdy the difference is GLARING between when I was on modafinil and not.  (Not a doctor)","human_ref_B":"Considering all of ypur symptoms and that your doctor ruled out the obvious, my immediate thought is that the length of your symptoms and the elevated white count represent a viral infection.  Ask your doctor about CMV, Flu, Mono testing.  Normally these can last for 2-3 weeks but if your immune system is not working well it could last months.  Did you get COVID in past?","labels":0,"seconds_difference":19879.0,"score_ratio":2.0}
-{"post_id":"g1eaxq","domain":"askdocs_test","upvote_ratio":0.93,"history":"UPDATE 2: Told that the reason I pass out when I turn my head to the side is because I\u2019m a girl Age: 20  Sex: Female  Height: 5'7\"  Weight: about 125 lbs  Race: Caucasian  Duration of complaint: about 3 years  Location: Neck\/Vascular  Any existing relevant medical issues: Raynauds   Current medications: Zoloft, Vyvanse  **Previous Posts**:  First post: https:\/\/www.reddit.com\/r\/AskDocs\/comments\/ai45qn\/told_that_the_reason_i_pass_out_when_i_turn_my\/  Second post: https:\/\/www.reddit.com\/r\/AskDocs\/comments\/cyqhyh\/update_told_that_the_reason_i_pass_out_when_i\/  **Recap\/Short Summary**: When I turn my head laterally I experience symptoms such as lapses of consciousness and blindness in one or both eyes. It seems like episodes are less likely to happen in situations where I am anxious. I'm thinking that has something to do with raised blood pressure. There are more symptoms which I listed out in my second post.  **Since my last post**:  * I had a neurologist that decided I have conversion disorder after he couldn't find anything else wrong  * I decided it was worth it to wait for a top neurologist to see me. That neuro did not think it was psychiatric.  * That neuro decided to send me to a Thoracic Surgeon to test for Thoracic Outlet Syndrome for the 4th time because he said that he knew one person who would perform the test and would produce reliable results since most people don't properly test for it.  These were his thoughts:  > It sounds like a vascular issue to me. Thoracic outlet is certainly in the nix and we will test it by ultrasound 01:12 . If negative, we will do a tilt-table to look for dysautonomia and then finally may look at the cervical occipital instability. She had a flexion and extension MRI that showed some findings, but we may need to get her to see a local neurosurgeon who has an expertise on that. I doubt she is having epilepsy.  * Test for TOS came back positive, meaning 2\/4 prelim. tests I have done for TOS have come back positive  * Did more tests  **Diagnosis**: Suggestive of mild-moderate venous thoracic outlet syndrome on the right and equivocal mild venous thoracic outlet syndrome on the left.  They also found a small hyper enhancing lesion on my liver which they are going to do an MRI of later, but it is most likely just a benign flash-filling hemangioma so I'm not worried about it.  So now that **I have a diagnosis** you may be wondering, **what is the problem?**   #**My diagnosis doesn't fit all my symptoms**  Specifically, my problems with lapses in consciousness.   I wanted to hear your thoughts on what underlying 2nd condition there may be if there is one.  I recorded some videos where I induce episodes. I accidentally hit my head in two of the videos, but I didn't know that I did until I watched the videos. I also had some memory loss of immediately before and after each episode.   Note that these episodes are what I was classify as mild-moderate. I frequently have more severe ones but they only really get severe when they catch me off guard.  In each video you will note there is a lag between when I turn my head and the visible symptoms occur. During this time frame one or both eyes are going blind, either partially or fully.  #**Videos:** Where I hit my head:  https:\/\/youtu.be\/Uhh8IfT9qb8  https:\/\/youtu.be\/ZBv9uVBed3w  Where I don't hit my head:  https:\/\/youtu.be\/WwwnYFYrfhU  https:\/\/youtu.be\/Hcp6u9ciX3c  https:\/\/youtu.be\/sXGE847b9QI  https:\/\/youtu.be\/H87RnuA4rqk  If you want to know about what tests I have taken or if you would like clarification on anything just ask!  Thanks to everyone on here for helping me through this nightmare since my first post ~1 or 2 years ago.","c_root_id_A":"fnf364b","c_root_id_B":"fnfek6u","created_at_utc_A":1586900558,"created_at_utc_B":1586906554,"score_A":5,"score_B":6,"human_ref_A":"Have they done any carotid testing?","human_ref_B":"Some people, usually older people, but much more rarely thin young people, develop bradycardia and pass out with even light pressure to the carotid sinus.  At least that\u2019s my best guess.    I have a few patients with other neurovascular problems, like migraines or vasovagal disorders, who describe something similar.  Although, admittedly, not to the degree that you describe.  I\u2019m not aware of any reliable or safe treatment for this phenomenon.","labels":0,"seconds_difference":5996.0,"score_ratio":1.2}
-{"post_id":"kznbqh","domain":"askdocs_test","upvote_ratio":1.0,"history":"(24, Male) One night I closed my eyes fairly tightly, and clenched my jaw. I felt something in my forehead like maybe apop. All of a sudden a flash of light and then terrible headache only on the right side of my head. That was 7 weeks ago, and the pain has slowly been dissipating. What is going on? The first week I had an almost constant debilitating headache behind and around my eye. I went to the doctor and they thought it might be cluster headaches, but this has been mostly constant and slowly getting better so I dont think its that? For the first couple weeks the side of my face felt kinda numb. It is hard to sleep. When I lay down I feel pressure in my forehead, either side. If I lay on my right side I would feel it in the left side of my forehead, and if I lay on my  left, I feel it on my right. besides my headache around my eye, I would feel pain all along the right side of my head more subtle but very constant it seemed. Smoking weed seemed to make the whole condition very much worse for a the duration of being high. When I wake up in the morning I feel normal for a little bit. I was on prednisone for a week and that seemed to get rid of the debilitating eye headache or at least lessen it. I think for a while I would see spots when trying to sleep. I noticed wearing a heat wrap around my neck helped the rest of the pain in my head. I feel like Im constantly getting better(very very slowly), but I just wish I knew what happened, or why it happened, if it could happen again? Ive thought, maybe I inflamed a nerve or something. I just find it so odd, and also kinda scary.","c_root_id_A":"gjpbaog","c_root_id_B":"gjplfp4","created_at_utc_A":1610958194,"created_at_utc_B":1610968227,"score_A":2,"score_B":5,"human_ref_A":"Ocular migraine? I\u2019m not a doctor, just a internet-er...","human_ref_B":"Sounds like a thunderclap headache. I had one 9 months ago and I, to this day, still have weird little twinges. Put me in hospital for 4 days.","labels":0,"seconds_difference":10033.0,"score_ratio":2.5}
-{"post_id":"rd0f8w","domain":"askdocs_test","upvote_ratio":0.97,"history":"Tested Positive for Cocaine, but I've never done Coke or any derivatives of it 29M, 6'3 210lbs, no relevant location\/duration of complaint, straight edge lifestyle, not on any meds.  So I took an oral drug test for work, and the test results came back saying that I was positive for cocaine. The trouble is that I've never done coke or any derivatives of it. I asked about retesting the sample, and the testing company told me I need to pay $150 in order to retest.   So my question is: What do I do? I need to fight this result but I don't know how. Should I just fork over the $150 to get it retested or is there something else I can do? Also are oral drug tests known to show a false positive result? And if I can't get rid of this result, is it going to make future employment opportunities difficult?  If anyone here has any advice I'd really appreciate it.  Other Info: I don't do any drugs, the only time I ever have was when I would occasionally smoke weed in college 10 years ago, but I haven't smoked in years, and I haven't ever tried anything else either. I'm also not on any medications and have not been to a doctor or dentist in years. I also don't live with people who do drugs either. Also I'm in California, if location matters.","c_root_id_A":"hnyp9md","c_root_id_B":"hnyojcm","created_at_utc_A":1639123132,"created_at_utc_B":1639122568,"score_A":146,"score_B":89,"human_ref_A":"This could be a genius business plan, offer company drug tests with every few being positive. Oh, you don't like it? $150 to retest","human_ref_B":"It is definitely possible that this is a false positive. To prove you are not a cocaine user, you could ask for a blood test or a hair test, since this would undoubtedly more accurately show metabolites. An oral test is only a screening test.   I don't , however , know the specifics of your situation and how to rectify this without any financial costs. Maybe you can talk to your boss and figure out a solution?","labels":1,"seconds_difference":564.0,"score_ratio":1.6404494382}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqti0ud","c_root_id_B":"gqtk4nk","created_at_utc_A":1615658609,"created_at_utc_B":1615659707,"score_A":20,"score_B":70,"human_ref_A":"It looks like a polyp.","human_ref_B":"Pulmonologist here.  Honestly it looks like a carcinoid, but I've never heard of someone coughing it up (it's something that we see when bronching somebody).  I assume your doctor is sending it to be looked at by a pathologist?  That would be the definitive way to find out what it is.","labels":0,"seconds_difference":1098.0,"score_ratio":3.5}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqtk4nk","c_root_id_B":"gqtelf3","created_at_utc_A":1615659707,"created_at_utc_B":1615656832,"score_A":70,"score_B":10,"human_ref_A":"Pulmonologist here.  Honestly it looks like a carcinoid, but I've never heard of someone coughing it up (it's something that we see when bronching somebody).  I assume your doctor is sending it to be looked at by a pathologist?  That would be the definitive way to find out what it is.","human_ref_B":"Interesting there are blood vessels in there","labels":1,"seconds_difference":2875.0,"score_ratio":7.0}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqt6fxm","c_root_id_B":"gqtk4nk","created_at_utc_A":1615652546,"created_at_utc_B":1615659707,"score_A":3,"score_B":70,"human_ref_A":"Did you accidentally inhale something while eating?","human_ref_B":"Pulmonologist here.  Honestly it looks like a carcinoid, but I've never heard of someone coughing it up (it's something that we see when bronching somebody).  I assume your doctor is sending it to be looked at by a pathologist?  That would be the definitive way to find out what it is.","labels":0,"seconds_difference":7161.0,"score_ratio":23.3333333333}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqtlbbc","c_root_id_B":"gqti0ud","created_at_utc_A":1615660315,"created_at_utc_B":1615658609,"score_A":59,"score_B":20,"human_ref_A":"Not a doctor (medical student) but I am almost certain it is a nasal polyp that you dislodged and coughed up. Nasal polyps are benign growths caused by lots of things (inflammation, allergies, infection, etc). They\u2019re pretty common and very treatable. Glad to hear you\u2019re breathing a bit better!","human_ref_B":"It looks like a polyp.","labels":1,"seconds_difference":1706.0,"score_ratio":2.95}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqtelf3","c_root_id_B":"gqtlbbc","created_at_utc_A":1615656832,"created_at_utc_B":1615660315,"score_A":10,"score_B":59,"human_ref_A":"Interesting there are blood vessels in there","human_ref_B":"Not a doctor (medical student) but I am almost certain it is a nasal polyp that you dislodged and coughed up. Nasal polyps are benign growths caused by lots of things (inflammation, allergies, infection, etc). They\u2019re pretty common and very treatable. Glad to hear you\u2019re breathing a bit better!","labels":0,"seconds_difference":3483.0,"score_ratio":5.9}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqtlbbc","c_root_id_B":"gqt6fxm","created_at_utc_A":1615660315,"created_at_utc_B":1615652546,"score_A":59,"score_B":3,"human_ref_A":"Not a doctor (medical student) but I am almost certain it is a nasal polyp that you dislodged and coughed up. Nasal polyps are benign growths caused by lots of things (inflammation, allergies, infection, etc). They\u2019re pretty common and very treatable. Glad to hear you\u2019re breathing a bit better!","human_ref_B":"Did you accidentally inhale something while eating?","labels":1,"seconds_difference":7769.0,"score_ratio":19.6666666667}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqti0ud","c_root_id_B":"gqtq1uf","created_at_utc_A":1615658609,"created_at_utc_B":1615662777,"score_A":20,"score_B":44,"human_ref_A":"It looks like a polyp.","human_ref_B":"Did it motivate you to stop smoking?","labels":0,"seconds_difference":4168.0,"score_ratio":2.2}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqtq1uf","c_root_id_B":"gqtelf3","created_at_utc_A":1615662777,"created_at_utc_B":1615656832,"score_A":44,"score_B":10,"human_ref_A":"Did it motivate you to stop smoking?","human_ref_B":"Interesting there are blood vessels in there","labels":1,"seconds_difference":5945.0,"score_ratio":4.4}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqtp61m","c_root_id_B":"gqtq1uf","created_at_utc_A":1615662311,"created_at_utc_B":1615662777,"score_A":6,"score_B":44,"human_ref_A":"Not a doctor but it looks like a polyp. i had a giant one in my sinus and parts of it would break off and looked very similar to this. I was told I would probably need surgery for polyps again later on in life as they have a tendency to reoccur.","human_ref_B":"Did it motivate you to stop smoking?","labels":0,"seconds_difference":466.0,"score_ratio":7.3333333333}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqt6fxm","c_root_id_B":"gqtq1uf","created_at_utc_A":1615652546,"created_at_utc_B":1615662777,"score_A":3,"score_B":44,"human_ref_A":"Did you accidentally inhale something while eating?","human_ref_B":"Did it motivate you to stop smoking?","labels":0,"seconds_difference":10231.0,"score_ratio":14.6666666667}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqti0ud","c_root_id_B":"gqtelf3","created_at_utc_A":1615658609,"created_at_utc_B":1615656832,"score_A":20,"score_B":10,"human_ref_A":"It looks like a polyp.","human_ref_B":"Interesting there are blood vessels in there","labels":1,"seconds_difference":1777.0,"score_ratio":2.0}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqt6fxm","c_root_id_B":"gqti0ud","created_at_utc_A":1615652546,"created_at_utc_B":1615658609,"score_A":3,"score_B":20,"human_ref_A":"Did you accidentally inhale something while eating?","human_ref_B":"It looks like a polyp.","labels":0,"seconds_difference":6063.0,"score_ratio":6.6666666667}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqtelf3","c_root_id_B":"gqu1t3z","created_at_utc_A":1615656832,"created_at_utc_B":1615669052,"score_A":10,"score_B":14,"human_ref_A":"Interesting there are blood vessels in there","human_ref_B":"Not a doctor but came here to say stop smoking! I was a 20 - 30 a day guy for a decade and I\u2019ve been cigarette free for 7 years now and I feel like a new person (health wise). You\u2019re young and it\u2019s a good time to stop. Feel better!","labels":0,"seconds_difference":12220.0,"score_ratio":1.4}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqu1t3z","c_root_id_B":"gqtp61m","created_at_utc_A":1615669052,"created_at_utc_B":1615662311,"score_A":14,"score_B":6,"human_ref_A":"Not a doctor but came here to say stop smoking! I was a 20 - 30 a day guy for a decade and I\u2019ve been cigarette free for 7 years now and I feel like a new person (health wise). You\u2019re young and it\u2019s a good time to stop. Feel better!","human_ref_B":"Not a doctor but it looks like a polyp. i had a giant one in my sinus and parts of it would break off and looked very similar to this. I was told I would probably need surgery for polyps again later on in life as they have a tendency to reoccur.","labels":1,"seconds_difference":6741.0,"score_ratio":2.3333333333}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqtywl1","c_root_id_B":"gqu1t3z","created_at_utc_A":1615667482,"created_at_utc_B":1615669052,"score_A":3,"score_B":14,"human_ref_A":"Looks like it has blood vessels and may have self detached.","human_ref_B":"Not a doctor but came here to say stop smoking! I was a 20 - 30 a day guy for a decade and I\u2019ve been cigarette free for 7 years now and I feel like a new person (health wise). You\u2019re young and it\u2019s a good time to stop. Feel better!","labels":0,"seconds_difference":1570.0,"score_ratio":4.6666666667}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqt6fxm","c_root_id_B":"gqu1t3z","created_at_utc_A":1615652546,"created_at_utc_B":1615669052,"score_A":3,"score_B":14,"human_ref_A":"Did you accidentally inhale something while eating?","human_ref_B":"Not a doctor but came here to say stop smoking! I was a 20 - 30 a day guy for a decade and I\u2019ve been cigarette free for 7 years now and I feel like a new person (health wise). You\u2019re young and it\u2019s a good time to stop. Feel better!","labels":0,"seconds_difference":16506.0,"score_ratio":4.6666666667}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqu7inq","c_root_id_B":"gqtelf3","created_at_utc_A":1615672208,"created_at_utc_B":1615656832,"score_A":11,"score_B":10,"human_ref_A":"Forbidden jelly bean  Edit: Not a doctor","human_ref_B":"Interesting there are blood vessels in there","labels":1,"seconds_difference":15376.0,"score_ratio":1.1}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqtelf3","c_root_id_B":"gqt6fxm","created_at_utc_A":1615656832,"created_at_utc_B":1615652546,"score_A":10,"score_B":3,"human_ref_A":"Interesting there are blood vessels in there","human_ref_B":"Did you accidentally inhale something while eating?","labels":1,"seconds_difference":4286.0,"score_ratio":3.3333333333}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqtp61m","c_root_id_B":"gqu7inq","created_at_utc_A":1615662311,"created_at_utc_B":1615672208,"score_A":6,"score_B":11,"human_ref_A":"Not a doctor but it looks like a polyp. i had a giant one in my sinus and parts of it would break off and looked very similar to this. I was told I would probably need surgery for polyps again later on in life as they have a tendency to reoccur.","human_ref_B":"Forbidden jelly bean  Edit: Not a doctor","labels":0,"seconds_difference":9897.0,"score_ratio":1.8333333333}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqu7inq","c_root_id_B":"gqtywl1","created_at_utc_A":1615672208,"created_at_utc_B":1615667482,"score_A":11,"score_B":3,"human_ref_A":"Forbidden jelly bean  Edit: Not a doctor","human_ref_B":"Looks like it has blood vessels and may have self detached.","labels":1,"seconds_difference":4726.0,"score_ratio":3.6666666667}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqu7inq","c_root_id_B":"gqt6fxm","created_at_utc_A":1615672208,"created_at_utc_B":1615652546,"score_A":11,"score_B":3,"human_ref_A":"Forbidden jelly bean  Edit: Not a doctor","human_ref_B":"Did you accidentally inhale something while eating?","labels":1,"seconds_difference":19662.0,"score_ratio":3.6666666667}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqu5zld","c_root_id_B":"gqu7inq","created_at_utc_A":1615671353,"created_at_utc_B":1615672208,"score_A":4,"score_B":11,"human_ref_A":"Send for pathology assessment,don\u2019t waste time asking people here.","human_ref_B":"Forbidden jelly bean  Edit: Not a doctor","labels":0,"seconds_difference":855.0,"score_ratio":2.75}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqtp61m","c_root_id_B":"gqt6fxm","created_at_utc_A":1615662311,"created_at_utc_B":1615652546,"score_A":6,"score_B":3,"human_ref_A":"Not a doctor but it looks like a polyp. i had a giant one in my sinus and parts of it would break off and looked very similar to this. I was told I would probably need surgery for polyps again later on in life as they have a tendency to reoccur.","human_ref_B":"Did you accidentally inhale something while eating?","labels":1,"seconds_difference":9765.0,"score_ratio":2.0}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqu5zld","c_root_id_B":"gqtywl1","created_at_utc_A":1615671353,"created_at_utc_B":1615667482,"score_A":4,"score_B":3,"human_ref_A":"Send for pathology assessment,don\u2019t waste time asking people here.","human_ref_B":"Looks like it has blood vessels and may have self detached.","labels":1,"seconds_difference":3871.0,"score_ratio":1.3333333333}
-{"post_id":"m48u7s","domain":"askdocs_test","upvote_ratio":0.97,"history":"Coughed this up I\u2019m a M, 27 years old and 154lbs.  A 15 a day smoker and I\u2019m not very active these days.  I\u2019ve been really congested for the best part of 3 weeks. Constantly coughing and blowing my nose.  I recently coughed this thing up.  Rang my out of hours GP and showed him this, he does not have a clue what this is and has left a note for my regular GP to look at it on Monday.  Has anyone got any ideas what this is?    https:\/\/ibb.co\/Z2ChfLc","c_root_id_A":"gqt6fxm","c_root_id_B":"gqu5zld","created_at_utc_A":1615652546,"created_at_utc_B":1615671353,"score_A":3,"score_B":4,"human_ref_A":"Did you accidentally inhale something while eating?","human_ref_B":"Send for pathology assessment,don\u2019t waste time asking people here.","labels":0,"seconds_difference":18807.0,"score_ratio":1.3333333333}
-{"post_id":"ia1mdx","domain":"askdocs_test","upvote_ratio":0.9,"history":"My wife is depressed and can't lose weight Hello medical professionals.  I have a question about my wife, she doesnt use reddit, so I wanted to ask for her.  My wife (29F) is about 5'7\" and 165lbs.  She's had 3 kids, the youngest being 2 and the oldest being 7.  She has an incrediblely difficult time losing weight.  She is by no means what I consider overweight, but she wants to lose weight, and there is weight to lose.  We have a Peloton bike and she uses it about an hour every day along with strength trainings 3-4 times a week.  She has been doing the OMAD (One Meal a Day) diet for over a month and she has not been able to lose any weight.  She has been on various workout regimes and diets for a couple of years with no noticeable effects.  Its tough for me to watch since she tries so so hard, adheres to very strick diets, works out like nobody else I've ever seen and she still can't lose any weight.  I feel like if anyone else was doing what she does they'd be losing tons of weight.  Whenever I do her diets and workouts I end up losing weight so fast.  She also suffers from depression.  She takes a low dose of FLUoxetine (10mg a day), and her struggles with losing weight usually put her in a bout of depression a few times a week. She also gets depressed easily about other things, but most of the time it is from her not losing weight.  When she is depressed she has a hard time being motivated to do anything and she talks about how much she hates herself.  I do feel like it is depression rather than just being bummed.  She is also very sensitive to foods and sugar. If she eats something sugary on an empty stomach, she gets sick to her stomache. She can't drink soda because it makes her sick, and just overall has a very sensitive stomach.  She had a really hard time with the OMAD diet when she started because she would would feel sick to her stomach if she hadn't eaten, but she says it's not bad anymore.  We were sure she had hyperthyroidism since the symptoms seemed to fall in line with that.  We went to our pcp and they did the tests for hyperthyroidism and she also tested her for diabetes.  We got the test results tonight and they all came back in the normal range, so she doesnt have hyperthyroidism or diabetes. This put her in a depressed mood because she feels like she just isn't doing enough to lose weight and she was so sure this was the issue.   I have a hard time believing that there isnt something wrong with her body and I just feel like there is an underlying issue. My wife doesn't want to go back to the pcp since she is so embarrassed by this. I wanted to get all of your thoughts and see if you have seen anything similar.  I really just want my wife back, her depression has taken a big toll on me and I struggle seeing her so down on herself all the time and there is nothing I do or say that helps.  Thanks everyone!","c_root_id_A":"g1jp2g0","c_root_id_B":"g1kucms","created_at_utc_A":1597477792,"created_at_utc_B":1597494497,"score_A":4,"score_B":5,"human_ref_A":"Focus on treating the depression first and the weight loss will come much easier. As someone who lost 130 pounds I can tell you that weighing a certain number or looking a certain way can make you feel some better, but it by no means will make your problems go away, and it absolutely will not cure depression.  For me, the answer was finding freedom in the knowledge and love of Jesus Christ. Your wife might not feel it, but she has immeasurable value.","human_ref_B":"Not a doctor - Mom here who was struggling to lose weight too, vegan diet, exercise, the whole nine. My PCP sent me to an endocrinologist to make sure my hormone levels were normal and my pituitary\/thyroid\/adrenals were working! Turns out they weren\u2019t. Keep digging, keep trying, keep reminding her to be gentle with herself - she\u2019s so strong! Sending you all the love.","labels":0,"seconds_difference":16705.0,"score_ratio":1.25}
-{"post_id":"ia1mdx","domain":"askdocs_test","upvote_ratio":0.9,"history":"My wife is depressed and can't lose weight Hello medical professionals.  I have a question about my wife, she doesnt use reddit, so I wanted to ask for her.  My wife (29F) is about 5'7\" and 165lbs.  She's had 3 kids, the youngest being 2 and the oldest being 7.  She has an incrediblely difficult time losing weight.  She is by no means what I consider overweight, but she wants to lose weight, and there is weight to lose.  We have a Peloton bike and she uses it about an hour every day along with strength trainings 3-4 times a week.  She has been doing the OMAD (One Meal a Day) diet for over a month and she has not been able to lose any weight.  She has been on various workout regimes and diets for a couple of years with no noticeable effects.  Its tough for me to watch since she tries so so hard, adheres to very strick diets, works out like nobody else I've ever seen and she still can't lose any weight.  I feel like if anyone else was doing what she does they'd be losing tons of weight.  Whenever I do her diets and workouts I end up losing weight so fast.  She also suffers from depression.  She takes a low dose of FLUoxetine (10mg a day), and her struggles with losing weight usually put her in a bout of depression a few times a week. She also gets depressed easily about other things, but most of the time it is from her not losing weight.  When she is depressed she has a hard time being motivated to do anything and she talks about how much she hates herself.  I do feel like it is depression rather than just being bummed.  She is also very sensitive to foods and sugar. If she eats something sugary on an empty stomach, she gets sick to her stomache. She can't drink soda because it makes her sick, and just overall has a very sensitive stomach.  She had a really hard time with the OMAD diet when she started because she would would feel sick to her stomach if she hadn't eaten, but she says it's not bad anymore.  We were sure she had hyperthyroidism since the symptoms seemed to fall in line with that.  We went to our pcp and they did the tests for hyperthyroidism and she also tested her for diabetes.  We got the test results tonight and they all came back in the normal range, so she doesnt have hyperthyroidism or diabetes. This put her in a depressed mood because she feels like she just isn't doing enough to lose weight and she was so sure this was the issue.   I have a hard time believing that there isnt something wrong with her body and I just feel like there is an underlying issue. My wife doesn't want to go back to the pcp since she is so embarrassed by this. I wanted to get all of your thoughts and see if you have seen anything similar.  I really just want my wife back, her depression has taken a big toll on me and I struggle seeing her so down on herself all the time and there is nothing I do or say that helps.  Thanks everyone!","c_root_id_A":"g1jp2g0","c_root_id_B":"g1jcjsf","created_at_utc_A":1597477792,"created_at_utc_B":1597472602,"score_A":4,"score_B":3,"human_ref_A":"Focus on treating the depression first and the weight loss will come much easier. As someone who lost 130 pounds I can tell you that weighing a certain number or looking a certain way can make you feel some better, but it by no means will make your problems go away, and it absolutely will not cure depression.  For me, the answer was finding freedom in the knowledge and love of Jesus Christ. Your wife might not feel it, but she has immeasurable value.","human_ref_B":"Weight is incredibly less complicated than most people think. There are no medications or illnesses that makes you unable to lose weight if you eat less calories than you need. None. Noooooone.  That doesn't mean that weightloss cant be a hard process and a struggle. It just means that you have to go at it without tricking yourself.    It's great that shes active, but lets forget about it in regards to her weightloss. Calculating basic metabolic calory need can be hard and detailed calories spendt from excercice is even harder. Forget about it.     Weightloss is diet. Food in. Simple as that. This has been such a long struggle and she seems so motivated so this is what you do:   - Learn to count and calculate kcal in meals. Look at kcal each 100 grams and calculate everything she eats (and drinks!!!!). After a week you will have a total number kcal consumed for that week. If she did not lose weight, cut 10 percent of that number. That is her allowed kcal allowed for the entire next week. Does not matter how or when she consumes it, but when the number is spendt no more eating that week. If she still is not losing weight you either started too high or calculate calories wrong in some way, doesn't matter because you just keep cutting 10 percent of that total number each week until she is losing weight. If she loses 2 kg in a week, stay at that number for the week as long as it works until she is the weight she wants to be.     This method is fool proof but it takes commitment. Good luck.","labels":1,"seconds_difference":5190.0,"score_ratio":1.3333333333}
-{"post_id":"ia1mdx","domain":"askdocs_test","upvote_ratio":0.9,"history":"My wife is depressed and can't lose weight Hello medical professionals.  I have a question about my wife, she doesnt use reddit, so I wanted to ask for her.  My wife (29F) is about 5'7\" and 165lbs.  She's had 3 kids, the youngest being 2 and the oldest being 7.  She has an incrediblely difficult time losing weight.  She is by no means what I consider overweight, but she wants to lose weight, and there is weight to lose.  We have a Peloton bike and she uses it about an hour every day along with strength trainings 3-4 times a week.  She has been doing the OMAD (One Meal a Day) diet for over a month and she has not been able to lose any weight.  She has been on various workout regimes and diets for a couple of years with no noticeable effects.  Its tough for me to watch since she tries so so hard, adheres to very strick diets, works out like nobody else I've ever seen and she still can't lose any weight.  I feel like if anyone else was doing what she does they'd be losing tons of weight.  Whenever I do her diets and workouts I end up losing weight so fast.  She also suffers from depression.  She takes a low dose of FLUoxetine (10mg a day), and her struggles with losing weight usually put her in a bout of depression a few times a week. She also gets depressed easily about other things, but most of the time it is from her not losing weight.  When she is depressed she has a hard time being motivated to do anything and she talks about how much she hates herself.  I do feel like it is depression rather than just being bummed.  She is also very sensitive to foods and sugar. If she eats something sugary on an empty stomach, she gets sick to her stomache. She can't drink soda because it makes her sick, and just overall has a very sensitive stomach.  She had a really hard time with the OMAD diet when she started because she would would feel sick to her stomach if she hadn't eaten, but she says it's not bad anymore.  We were sure she had hyperthyroidism since the symptoms seemed to fall in line with that.  We went to our pcp and they did the tests for hyperthyroidism and she also tested her for diabetes.  We got the test results tonight and they all came back in the normal range, so she doesnt have hyperthyroidism or diabetes. This put her in a depressed mood because she feels like she just isn't doing enough to lose weight and she was so sure this was the issue.   I have a hard time believing that there isnt something wrong with her body and I just feel like there is an underlying issue. My wife doesn't want to go back to the pcp since she is so embarrassed by this. I wanted to get all of your thoughts and see if you have seen anything similar.  I really just want my wife back, her depression has taken a big toll on me and I struggle seeing her so down on herself all the time and there is nothing I do or say that helps.  Thanks everyone!","c_root_id_A":"g1kucms","c_root_id_B":"g1jcjsf","created_at_utc_A":1597494497,"created_at_utc_B":1597472602,"score_A":5,"score_B":3,"human_ref_A":"Not a doctor - Mom here who was struggling to lose weight too, vegan diet, exercise, the whole nine. My PCP sent me to an endocrinologist to make sure my hormone levels were normal and my pituitary\/thyroid\/adrenals were working! Turns out they weren\u2019t. Keep digging, keep trying, keep reminding her to be gentle with herself - she\u2019s so strong! Sending you all the love.","human_ref_B":"Weight is incredibly less complicated than most people think. There are no medications or illnesses that makes you unable to lose weight if you eat less calories than you need. None. Noooooone.  That doesn't mean that weightloss cant be a hard process and a struggle. It just means that you have to go at it without tricking yourself.    It's great that shes active, but lets forget about it in regards to her weightloss. Calculating basic metabolic calory need can be hard and detailed calories spendt from excercice is even harder. Forget about it.     Weightloss is diet. Food in. Simple as that. This has been such a long struggle and she seems so motivated so this is what you do:   - Learn to count and calculate kcal in meals. Look at kcal each 100 grams and calculate everything she eats (and drinks!!!!). After a week you will have a total number kcal consumed for that week. If she did not lose weight, cut 10 percent of that number. That is her allowed kcal allowed for the entire next week. Does not matter how or when she consumes it, but when the number is spendt no more eating that week. If she still is not losing weight you either started too high or calculate calories wrong in some way, doesn't matter because you just keep cutting 10 percent of that total number each week until she is losing weight. If she loses 2 kg in a week, stay at that number for the week as long as it works until she is the weight she wants to be.     This method is fool proof but it takes commitment. Good luck.","labels":1,"seconds_difference":21895.0,"score_ratio":1.6666666667}
-{"post_id":"x0un63","domain":"askdocs_test","upvote_ratio":0.96,"history":"Why was my wife's pain treated so inadequately after surgery? My (41M) wife (38F) recently had abdominal surgery. I arrived back at the hospital to find her basically overwhelmed with pain the morning after the surgery. She had had no pain relievers administered in almost 11 hours.  She was sobbing, writhing, shaking, with blood pressure 50 points higher than normal. They hadn't given her any opioids overnight, nor had they given her tylenol or NSAIDS.  My limited understanding of pain relief after surgery is that you stay ahead of the pain. You don't let it become overwhelming for the patient. We are trying to figure why this happened, particularly so we can prevent it from happening again. She was semi-traumatized from the experience.  My wife has no history of opioid abuse and in fact has a history of using opioids briefly after other surgeries and then getting off of them quickly with no issue, so opioid abuse should not have been a concern preventing my wife from getting proper care.  What we did figure out is that the process that was in place for pain relievers at this hospital was that my wife was supposed to be asking for them, or they were not going to be given. The nurses kept saying that pain relief was \"PRN\". However neither my wife nor I were ever informed that she would need to be doing the asking or would get nothing for pain and with major abdominal surgery, we had both assumed that the doctors and nurses would be providing for her pain relief so soon after surgery. She did not know to ask and did not realize that she would be absolutely slammed with pain so soon after waking the morning after surgery.  Further, the process in the hospital even after asking for pain relief is that it takes about an hour for the medication to be approved and provided. Even after the oral medication was provided, it would take another hour to become active for her symptoms. So we're talking even after my wife is begging for pain medicine, not knowing she should have to, she would be in growing pain for another two hours.  By the time an oral medication was approved the morning after, my wife was afraid she was gasping and sobbing so hard it would not even be safe for her to attempt swallowing anything and requested an IV pain reliever, but this was initially denied. The nurses told her that she was in this much pain because hadn't peed and she would feel better if she walked and got up to pee, but being up and attempting to walk only increased her pain.  Eventually the doctor arrived to check in and was completely appalled at the state that my wife was in and ordered the IV opioid pain relief. He said that she had been undertreated for pain. In short order after IV opioids, my wife was okay, walking, conversing, peeing and sitting up.  We are left with questions about why this happened. This is a hospital with a good reputation in a major metropolitan area. Do I need to just plan on being with my wife every second if she has any future surgeries so that I can protect her? Should we just avoid this hospital? Is the way that pain relief was provided related to systemic concerns about preventing opioid addiction that we might encounter in other hospitals as well? Why on earth would pain medication be PRN so soon after abdominal surgery and why would no one tell us? Why didn't they at least provide some ibuprofen on a schedule? How can we prevent this from happening in the future and is there any particular person at the hospital we can talk to communicate that how they handled this was highly problematic and is likely to be highly problematic for other patients as well?","c_root_id_A":"imdtyfc","c_root_id_B":"imdt2kt","created_at_utc_A":1661866083,"created_at_utc_B":1661865682,"score_A":15,"score_B":14,"human_ref_A":"I am sorry this happened to your wife. This is inexcusable. You should get the patient advocate involved.","human_ref_B":"What surgery did she have done?   Her pain should've been assessed periodically throughout the night.  If a patient is asleep, I try not to wake them however. One should not assume however that just bc a patient is sleeping, her or she isn't in pain.  I don't want to sound insensitive but I do find it odd that during the night, when she was woken as you mentioned, that she didn't ask for any pain medicine? Did she tell them she was in pain? Does she remember being asked for a pain score?  She shouldn't have \"known\" to ask for pain meds, but I would think she would've communicated her pain *somehow* throughout the night. If she *did* communicate the pain, at that point the nurse fell through for not asking if she would like her PRN pain meds at that time.  The reason strong pain meds are rarely given regularly without a patient having to ask, or while a patient  sleeps, is because this is dangerous and you risk over sedating the patient.  I do find it odd that they had to *call and ask for oral pain meds* and then wait an hour for it to be approved? Why couldn't they go ahead and pull one of the PRN meds that were ordered? That's the part that doesn't make sense to me.","labels":1,"seconds_difference":401.0,"score_ratio":1.0714285714}
-{"post_id":"amggwz","domain":"askdocs_test","upvote_ratio":0.92,"history":"My son has a patch of light blonde hair on the back of his head. He is a full brunette otherwise. is it a birth mark or something to be concerned about? I\u2019d never seen this before, but could be poliosis? Age: 4 weeks old  Sex: Male  Height: 20.5 inches  Weight: not sure currently   Race: Caucasian\/White  Duration of complaint: Since birth, 4 weeks  Location: lower hairline on the back of his head   Medical issues: none that we know of yet  Current Medications: none  Photo: https:\/\/imgur.com\/a\/A3IwnAH","c_root_id_A":"efm4agy","c_root_id_B":"efmbedb","created_at_utc_A":1549140778,"created_at_utc_B":1549146674,"score_A":21,"score_B":23,"human_ref_A":"My daughter is blonde and has a patch of white- it\u2019s just a spot of missing melanin - nothing to worry about.","human_ref_B":"It\u2019s a Mallen streak (poliosis)!  OP, there\u2019s a lot of romance and mythology about people who have a Mallen streak, if you want to do some searching online ;)  Your baby is special! \u2764\ufe0f","labels":0,"seconds_difference":5896.0,"score_ratio":1.0952380952}
-{"post_id":"amggwz","domain":"askdocs_test","upvote_ratio":0.92,"history":"My son has a patch of light blonde hair on the back of his head. He is a full brunette otherwise. is it a birth mark or something to be concerned about? I\u2019d never seen this before, but could be poliosis? Age: 4 weeks old  Sex: Male  Height: 20.5 inches  Weight: not sure currently   Race: Caucasian\/White  Duration of complaint: Since birth, 4 weeks  Location: lower hairline on the back of his head   Medical issues: none that we know of yet  Current Medications: none  Photo: https:\/\/imgur.com\/a\/A3IwnAH","c_root_id_A":"efm61yf","c_root_id_B":"efmbedb","created_at_utc_A":1549142247,"created_at_utc_B":1549146674,"score_A":19,"score_B":23,"human_ref_A":"my friend has it in his mustache \ud83d\ude02\ud83d\ude02","human_ref_B":"It\u2019s a Mallen streak (poliosis)!  OP, there\u2019s a lot of romance and mythology about people who have a Mallen streak, if you want to do some searching online ;)  Your baby is special! \u2764\ufe0f","labels":0,"seconds_difference":4427.0,"score_ratio":1.2105263158}
-{"post_id":"amggwz","domain":"askdocs_test","upvote_ratio":0.92,"history":"My son has a patch of light blonde hair on the back of his head. He is a full brunette otherwise. is it a birth mark or something to be concerned about? I\u2019d never seen this before, but could be poliosis? Age: 4 weeks old  Sex: Male  Height: 20.5 inches  Weight: not sure currently   Race: Caucasian\/White  Duration of complaint: Since birth, 4 weeks  Location: lower hairline on the back of his head   Medical issues: none that we know of yet  Current Medications: none  Photo: https:\/\/imgur.com\/a\/A3IwnAH","c_root_id_A":"efm8vel","c_root_id_B":"efmbedb","created_at_utc_A":1549144575,"created_at_utc_B":1549146674,"score_A":8,"score_B":23,"human_ref_A":"My brother has brown hair and a blonde beard. As a child he had 2 blonde patches by each temple. To add to the other comments, though I\u2019m also not a doctor, it\u2019s nothing to worry about.","human_ref_B":"It\u2019s a Mallen streak (poliosis)!  OP, there\u2019s a lot of romance and mythology about people who have a Mallen streak, if you want to do some searching online ;)  Your baby is special! \u2764\ufe0f","labels":0,"seconds_difference":2099.0,"score_ratio":2.875}
-{"post_id":"amggwz","domain":"askdocs_test","upvote_ratio":0.92,"history":"My son has a patch of light blonde hair on the back of his head. He is a full brunette otherwise. is it a birth mark or something to be concerned about? I\u2019d never seen this before, but could be poliosis? Age: 4 weeks old  Sex: Male  Height: 20.5 inches  Weight: not sure currently   Race: Caucasian\/White  Duration of complaint: Since birth, 4 weeks  Location: lower hairline on the back of his head   Medical issues: none that we know of yet  Current Medications: none  Photo: https:\/\/imgur.com\/a\/A3IwnAH","c_root_id_A":"efmfvp2","c_root_id_B":"efm8vel","created_at_utc_A":1549150435,"created_at_utc_B":1549144575,"score_A":14,"score_B":8,"human_ref_A":"Funny thing happened in my family. My older sister was born with a white patch of hair (rest was all dark brown) and I was born with a dark brown patch of hair and the rest was all blonde hair (white blonde).   My sister and I are almost 20 years apart..... Annoyingly enough, it won't take to any hair dye.....","human_ref_B":"My brother has brown hair and a blonde beard. As a child he had 2 blonde patches by each temple. To add to the other comments, though I\u2019m also not a doctor, it\u2019s nothing to worry about.","labels":1,"seconds_difference":5860.0,"score_ratio":1.75}
-{"post_id":"amggwz","domain":"askdocs_test","upvote_ratio":0.92,"history":"My son has a patch of light blonde hair on the back of his head. He is a full brunette otherwise. is it a birth mark or something to be concerned about? I\u2019d never seen this before, but could be poliosis? Age: 4 weeks old  Sex: Male  Height: 20.5 inches  Weight: not sure currently   Race: Caucasian\/White  Duration of complaint: Since birth, 4 weeks  Location: lower hairline on the back of his head   Medical issues: none that we know of yet  Current Medications: none  Photo: https:\/\/imgur.com\/a\/A3IwnAH","c_root_id_A":"efmhd5v","c_root_id_B":"efm8vel","created_at_utc_A":1549151708,"created_at_utc_B":1549144575,"score_A":10,"score_B":8,"human_ref_A":"This pic just makes me want to smooch his little neck \u2764\ufe0f","human_ref_B":"My brother has brown hair and a blonde beard. As a child he had 2 blonde patches by each temple. To add to the other comments, though I\u2019m also not a doctor, it\u2019s nothing to worry about.","labels":1,"seconds_difference":7133.0,"score_ratio":1.25}
-{"post_id":"xnshgx","domain":"askdocs_test","upvote_ratio":0.91,"history":"Why does somebody like me who is fit and lean have elevated cholesterol? Male. 39. 6'1\" 184 pounds. No medications. No drugs. No alcohol. Diagnosed with a mild fatty liver in 2020.   I had a lipid profile done on 9\/2022 - LDL was 152. In 7\/2021, my LDL was 138.   I workout 5 days a week - biking or running 30-40 mins each day. I also lift weights.  I can't figure out why my LDL is elevated? I do many of the right things. My wife eats junk food and her's is perfect.","c_root_id_A":"ipuxf63","c_root_id_B":"ipuxms5","created_at_utc_A":1664124758,"created_at_utc_B":1664124844,"score_A":33,"score_B":69,"human_ref_A":"Genetics\/bad luck. I'd consider a medical treatment for it.","human_ref_B":"Unfortunately probably genetics, likely in combination with diet. Some people have a history of high cholesterol in their family (even if they don't have one of the specific diseases that do that) and will be extremely sensitive to stuff that other folks can tolerate well. For a similar example, I had a friend in med school that gained five pounds at age 25 and went from \"very skinny\" to \"normal skinny\"--and she got told by her doctor that was enough to make her prediabetic.  In your case I would talk to your doctor about it, it may be worth it in your case starting medication.","labels":0,"seconds_difference":86.0,"score_ratio":2.0909090909}